Patient Safety

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

Study: Restrictive vs liberal blood transfusion outcomes in cardiac surgery patients

Editor's Note A restrictive blood transfusion strategy (HGB <7.5 g/dL) was equivalent to a liberal strategy (HGB <9.5 g/dL in the OR or ICU and HGB<8.5 g/dL in the non-ICU ward) with regard to mortality and major disability in cardiac surgery patients who had a moderate-to-high risk of death, this…

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By: Judy Mathias
November 16, 2017
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FDA: Baxter recalls one lot of injectable amiodarone

Editor's Note The Food and Drug Administration (FDA) on November 15 announced the recall by Baxter International (Deerfield, Illinois) of one lot of Nexterone (amiodarone HCL) 150 mg/100 mL premixed injection because of the presence of particulate matter. The particulate matter was identified as polyethylene, the primary constituent of the…

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By: Judy Mathias
November 16, 2017
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Joint Commission chooses Apervita platform to ease eCQM submission

Editor's Note The Joint Commission has selected Chicago-based Apervita’s platform to enable thousands of hospitals with ORYX data reporting requirement to directly submit electronic clinical quality measure (eCQM) data in 2018, the November 14 Healthcare Informatics reports. Since the shift to eCQM data submission began 2 years ago, the Joint…

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By: Judy Mathias
November 15, 2017
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Greater vigilance needed to combat ureteroscope contamination

A new study by Ofstead & Associates (St Paul, Minnesota) is the latest to raise concerns about infections associated with endoscopic procedures. The study, which focused on ureteroscopes, found that the techniques used to clean and sterilize or high-level disinfect flexible ureteroscopes are not sufficient and leave behind contamination including…

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By: Judith M. Mathias, MA, RN
November 15, 2017
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Latest steam sterilization standard available from AAMI

The Association for the Advancement of Medical Instrumentation (AAMI) in September released the newest version of the ANSI/AAMI ST 79 Comprehensive Guide to Steam Sterilization and Sterility Assurance in Healthcare Facilities. This document, last updated in 2013, has been under a major review for changes in the format presentation and…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
November 15, 2017
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Constructive Culture + Performance Improvement = Patient Safety and Favorable Outcomes

After this session, you will be able to: 1. Utilize methods to conduct a safety assessment questionnaire (SAQ), debrief, and two-question survey. 2. Identify opportunities for improvement using outcomes data. 3. Describe a plan using outcomes data to improve surgical results and enhance the safety culture. Why this is important:…

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Violence in healthcare facilities--Know your risks

Violence is much more common in healthcare than in other industries, and although many violent events in healthcare are perpetrated by patients, a notable percentage are not. Individuals other than patients who may cause violence in healthcare settings include family members of patients and other visitors, employees, and criminals. Many…

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By: OR Manager
November 15, 2017
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Peer review inspires high performance from providers

Peer review is a hot topic in the quality arena as many ambulatory surgery centers (ASCs) strive to create meaningful and sustainable evaluation of their providers. “As a surveyor, I can tell you peer review trips everybody up,” says Ann Geier, MS, RN, CNOR, CASC, chief nursing officer of Surgical…

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By: Leslie Flowers
November 15, 2017
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Landmark study may affect stroke treatment guidelines

Editor's Note Guidelines for stroke treatment currently recommend clot removal within 6 hours of onset. However, a new study led by researchers from Emory University School of Medicine, Atlanta, finds that clot removal up to 24 hours leads to significantly reduced disability. This international multi-center study randomly assigned 206 stroke…

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By: Judy Mathias
November 13, 2017
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Perioperative Nurse Week is November 12 to 18

  Editor's Note Every year, Perioperative Nurse Week focuses attention on the work of more than 160,000 nurses who advocate for surgical patients. During the week, perioperative nurses are honored by colleagues and communities to highlight the ways in which nurses are working to improve patient safety−before, during, and after…

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By: Judy Mathias
November 13, 2017
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Medicare readmission reduction program linked to increased mortality rates

Editor's Note The Centers for Medicare & Medicaid Services (CMS) Hospital Readmissions Reduction Program has had the unintended consequence of increased short- and long-term mortality in heart failure patients, this study finds. Five years ago, as part of the Affordable Care Act, federal policy makers introduced the Hospital Readmission Reduction…

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By: Judy Mathias
November 13, 2017
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Job Safety Behavioral Observation: A Means for Reducing Workplace Injury

After this session you’ll be able to: 1. Describe the elements of a Job Safety Behavioral Observation (JSBO). 2. Discuss the application of JSBO to mitigate workplace hazards. 3. Understand the tools utilized in JSBO to implement them in your own OR. Why this is important: Teams at Beth Israel…

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