Patient Safety

Latest Issue of OR Manager
October 2017
Home Safety/Quality > Patient Safety

FDA recommends use of thermal regulating systems during surgery

Editor's Note The Food and Drug Administration (FDA) on August 30 issued a Safety Alert reminding healthcare providers that using thermal regulating systems, including forced air systems, during surgical procedures has been shown to result in less bleeding, faster recovery times, and decreased risk of infections for patients. The FDA…

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By: Judy Mathias
September 1, 2017
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23 Houston-area hospitals move patients; 25 more are vulnerable

Editor's Note At least 23 hospitals in the Houston area affected by flooding from Hurricane Harvey have moved patients to other facilities, and another 25 are considered vulnerable to flooding or shortages of staff and supplies, the August 29 Houston Chronicle reports. The full tally of evacuated patients was not…

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By: Judy Mathias
August 30, 2017
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Joint Commission issues R3 Report on pain assessment and management standards for hospitals

Editor's Note The Joint Commission has issued a new R3 Report to help accredited hospitals better understand and comply with its new and revised pain management standards, which are effective January 1, 2018. This R3 Report provides in-depth rationale, references, and evidence used in the development of the new and…

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By: Judy Mathias
August 30, 2017
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Barriers, benefits of using mobile health technology postoperatively

Editor's Note This survey of 800 patients identified a range of potential barriers and benefits to using mobile health technology to enhance recovery after surgery. Potential barriers included: protecting personal health information technology effectiveness and failure preference for face-to-face interaction with their surgeons level of effort required ability of older…

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By: Judy Mathias
August 30, 2017
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FDA: Abbott updates pacemaker firmware to address cybersecurity vulnerabilities

Editor's Note The Food and Drug Administration (FDA) announced on August 29 that it had approved a firmware update that is intended as a recall, specifically a corrective action, to reduce the risk of patient harm due to cybersecurity vulnerabilities for certain Abbott (formerly St Jude Medical) implantable cardiac pacemakers.…

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By: Judy Mathias
August 30, 2017
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Patient Safety in the OR - Fourth Edition

Patient safety continues to be a hot issue in the OR and of paramount concern to all those involved in the management and operation of the surgical suite. In this fourth edition of Patient Safety in the OR, perioperative directors, OR administrators, managers, and their staff will find the information…

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Postop pain predicts readmissions, ED visits

Editor's Note Postoperative pain trajectories can identify patients at risk for 30-day readmissions and emergency department (ED) visits, and are not mediated by postdischarge complications, this study finds. In this analysis of 211,231 surgical procedures (45.4% orthopedic, 37.0% general, and 17.6% vascular), the 30-day unplanned readmission rate was 10.8%, and…

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By: Judy Mathias
August 29, 2017
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FDA: Cook Medical issues recall correction, removal of certain sizes of Zenith Alpha thoracic endovascular graft

Editor's Note The Food and Drug Administration (FDA) on August 25 announced a recall correction to the instructions for use by Cook Medical (Bloomington, Indiana) for its Zenith Alpha thoracic endovascular graft. This correction removed the indication for blunt thoracic aortic injury (BTAI) because Cook has received an increase in…

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By: Judy Mathias
August 29, 2017
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Houston Hospitals hit by flooding from Harvey

Editor's Note Flooding from Hurricane Harvey is pushing some Houston hospitals to close or evacuate, the August 27 Modern Healthcare reports. Baylor College of Medicine and clinics closed Sunday, August 27, as did all Texas Children’s Hospital’s pediatrics practices and urgent care locations. The University of Texas MD Anderson Cancer…

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By: Judy Mathias
August 28, 2017
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STOP-Bang screening associated with risk of postop complications in OSA patients

Editor's Note This meta-analysis found that patients at higher risk for obstructive sleep apnea (OSA), as determined by preoperative STOP-Bang screening, had a higher risk of postoperative adverse events and longer length of hospital stay, compared with lower risk-OSA patients. The analysis included 10 studies with 23,609 patients (7,877 high-risk…

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By: Judy Mathias
August 28, 2017
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Patient falls from OR, procedure tables during anesthesia care

Editor's Note In this analysis of patient falls from OR and procedure tables during anesthesia care, researchers queried two independent closed claims databases. They identified 21 claims (1.2% of cases) in the American Society of Anesthesiologists (ASA) Closed Claims Project and 0.07% of cases in the secure records of a…

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By: Judy Mathias
August 25, 2017
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Electronic Distractions in the Perioperative Area and Patient Safety

Social media, texting, i messaging, you tube, twitter, face book, games; personal calls are distracting in the perioperative areas. Mobile devices like cell phones and tablets have allowed constant non-patient centered communication into the PACU, OR, Pre-op and Post–op units resulting in a management challenge. In a recent OR Manager…

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