Patient Safety

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

Study: Childhood anesthesia linked to learning disabilities, ADHD

Editor's Note Children with multiple exposures to anesthesia before age 3 are more likely to develop adverse outcomes related to learning and attention, this study finds. Of 116 multiply exposed, 457 singly exposed, and 463 unexposed children included in the analysis, multiple, but not single, anesthesia exposures were associated with…

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By: Judy Mathias
July 19, 2017
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Trends in treating total joint patients with OSA

Editor's Note This population-based analysis finds that implementation of obstructive sleep apnea (OSA) interventions in total joint patients is limited, with some current trends virtually in contrast to practice guidelines. Of more than 1 million patients analyzed, anesthetic techniques did not differ by OSA status, and overall, less than 25%…

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By: Judy Mathias
July 19, 2017
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Reduction in readmissions not linked to increased mortality

Editor's Note Reductions in readmissions associated with the Affordable Care Act have not had the unintended consequence of increasing mortality after hospital discharge, finds this study. Analysis of more than 5 million Medicare patients hospitalized for heart failure, heart attack, or pneumonia, found that reductions in hospital 30-day readmission rates…

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By: Judy Mathias
July 18, 2017
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Safety of nipple-sparing mastectomy

Editor's Note Women with breast cancer who have nipple-sparing mastectomies have a low rate of cancer recurrence in the first 5 years, this study finds. Of 311 patients with nipple-sparing mastectomies analyzed, 17 developed a recurrence of their cancer at 51 months median follow-up. Estimated disease-free survival was 95.7% at…

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By: Judy Mathias
July 18, 2017
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Global outbreak of M chimaera linked to German factory

Editor's Note The LivaNova factory in Munich, Germany, a manufacturer of heater-cooler units used in cardiothoracic surgery, appears to be the source of a global outbreak of Mycobacterium chimaera, this study finds. Researchers matched the DNA of samples taken from 21 infected cardiothoracic surgical patients to samples from heater-cooler units…

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By: Judy Mathias
July 17, 2017
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Children’s Hospital Los Angeles designated a ‘Most Wired’ hospital

Editor's Note Children’s Hospital Los Angeles (CHLA) announced July 11 that it has been designated a Health Care’s Most Wired 2017 by the American Hospital Association’s (AHA) Health Forum. Hospitals & Health Networks, an AHA publication, annually assesses the level of health information technology adoption in US hospitals and health…

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By: Judy Mathias
July 13, 2017
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AHRQ: Review of VTE prophylaxis in orthopedic surgery

Editor's Note A new report from the Agency for Healthcare Research and Quality (AHRQ) compares the effectiveness of strategies to prevent venous thromboembolism (VTE) in patients having total hip replacement (THR), total knee replacement (TKR), or hip fracture surgery. The study directly compares different types of blood thinners and mechanical…

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By: Judy Mathias
July 13, 2017
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Distinguishing risk factors for SSIs after pancreatic surgery

Editor's Note Reporting of surgical site infections (SSIs) after pancreatic surgery should distinguish between superficial and organ-space infections, which will require different preventative strategies, this study finds. Results showed that risk factors for superficial and organ-space SSIs after pancreatic surgery differed. Preoperative biliary stenting was an independent risk factor for superficial…

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By: Judy Mathias
July 13, 2017
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Joint Commission revises 2018 Medication Management standards

Editor's Note The Joint Commission on July 12 announced revisions to its Medication Management standards that will become effective January 1, 2018. Among the revisions: Implementing a policy to provide emergency backup of medication dispensing equipment. Adding “wasting” of medication to required written policies. Implementing a policy for medication overrides…

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By: Judy Mathias
July 13, 2017
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Orthopedic PSH a prime model for value-based care—Part 1

Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…

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By: Cynthia Saver, MS, RN
July 13, 2017
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