Patient Safety

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

ECRI Institute releases Top 10 Health Technology Hazards for 2018

Editor's Note The ECRI Institute on November 6 released its Top 10 Health Technology Hazards for 2018. The report identifies potential sources of danger involving medical devices and other healthcare technologies to watch for in the coming year. Topping the list is ransomware and other cybersecurity threats, followed by endoscope…

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By: Judy Mathias
November 6, 2017
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Surveillance is safe for noncancerous, high-risk breast lesions

Editor's Note High-risk, noncancerous flat epithelial atypia (FEA) breast lesions can be treated with close observation rather than surgical removal in most cases, this study finds. The analysis of 208 patients diagnosed with FEA over a 9-year period found that after mammography, biopsy, and surgical excision, five lesions (2.4%) were…

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By: Judy Mathias
November 1, 2017
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Study: No advantages to robotic-assisted nephrectomy

Editor's Note Robotic-assisted nephrectomy is more expensive and takes longer than conventional laparoscopic nephrectomy and confers no additional benefits, this study finds. The proportion of robotic-assisted nephrectomies increased from 1.5% in 2003 to 27% in 2015. Of 23,753 patients analyzed, no significant differences were found in major postoperative complications between…

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By: Judy Mathias
October 31, 2017
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Improving readability of discharge instructions linked to fewer follow-up phone calls

  Editor's Note Making discharge instructions easier to read resulted in fewer phone calls from traumatic injury patients after discharge, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of 1,006 patients were included in the study, 493 in…

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By: Judy Mathias
October 31, 2017
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FDA: Increased rate of major adverse events with Absorb GT1 Bioresorbable Vascular Scaffold

Editor's Note The Food and Drug Administration (FDA) on October 31 issued a Safety Alert saying that interim study results continue to show an increased rate of major adverse cardiac events and Bioresorbable Vascular Scaffold (BVS) thrombosis in patients receiving the Absorb GT1 BVS by Abbott Vascular (Abbott Park, Illinois),…

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By: Judy Mathias
October 31, 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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Belly fat predicts adverse outcomes after emergency surgery

Editor's Note A patient’s waist measurement can predict the risk of complications and death after emergency general surgery, finds this study presented October 26 at the American College of Surgeons Clinical Congress 2017 in San Diego. Included in the study were 608 emergency general surgery patients who had preoperative CT…

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By: Judy Mathias
October 30, 2017
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PSH model reduces deaths, ED visits in elderly hip fracture patients

Editor's Note Elderly hip fracture patients were less likely to die or return to the emergency department (ED) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, finds this study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. PSH patients also…

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By: Judy Mathias
October 30, 2017
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Total joint patients using fewer opioids to manage postop pain

Editor's Note Opioid use in total hip and knee patients decreased by one-third between 2006 and 2014, which reflects success in the use of a multimodal approach (ie, opioids plus additional pain management methods, such as peripheral nerve blocks and acetaminophen) to pain management, finds this study presented October 21…

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By: Judy Mathias
October 27, 2017
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Nonoperative treatment of appendicitis linked to higher death rate

Editor's Note Twice as many patients with appendicitis are being treated without surgery compared to 20 years ago; however, nonoperative management is associated with a higher death rate, finds this study presented October 26 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of  477,680…

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By: Judy Mathias
October 27, 2017
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Study: Cloth skull caps more effective than bouffant disposable caps in preventing airborne contamination

Editor's Note Surgeon’s cloth skull caps that expose small amounts of the ears and hair are not inferior to bouffant disposable hats that cover those features, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego and published online October 26 in…

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By: Judy Mathias
October 26, 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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