Patient Safety

Latest Issue of OR Manager
February 2018
Home Safety/Quality > Patient Safety > Patient Safety

SHEA issues new guidance on contact precautions

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) on January 11 released new expert guidance on contact precautions for patients with multidrug-resistant bacterial infections. The guidance advises hospitals on when they can safely discontinue contact precautions, including use of gowns, gloves, and masks. In most cases, this ranges…

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By: Judy Mathias
January 19, 2018
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Factors linked to outcomes, costs after pediatric lap chole

Editor's Note Surgeon volume of adult general surgical procedures was significantly associated with lower morbidity and costs after pediatric laparoscopic cholecystectomy in this study. Of 3,519 laparoscopic cholecystectomies performed in pediatric patients, the overall morbidity rate was 3.9%. High-volume general surgeons had an odds of all-cause morbidity that was 68%…

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By: Judy Mathias
January 19, 2018
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Visual cues help PACU staff avoid medication errors

Concern about opioid abuse has reached epic proportions in recent months, and healthcare providers have come under increasing pressure to help mitigate the problem. Curbing the tendency to overprescribe pain medications is considered the first, most obvious step, but there are other actions that can also improve patient safety. Nurse…

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By: Judith M. Mathias, MA, RN
January 19, 2018
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New OR nurses excel as champions and preceptors

Tapping incoming or newly graduated OR nurses as champions and preceptors for initiatives works quite well, say some OR leaders. Though less experienced than their peers, these nurses bring to the table up-to-date knowledge, energy, a fresh set of eyes, and comfort with new technology. In turn, making them experts…

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By: Susan London
January 19, 2018
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Top 10 health technology hazards for 2018 named

Medical technology is intended to improve patient care, but even the best technology—if configured, used, or maintained improperly—can lead to problems. Hospitals must regularly examine their hazard control priorities to target the most pressing risks. ECRI Institute’s annual Top 10 Health Technology Hazards report identifies high-priority sources of danger or…

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By: OR Manager
January 19, 2018
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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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Total joints present increasingly attractive option for ASCs

The migration of total joint replacements for knees and hips from inpatient hospital ORs to hospital outpatient departments and ambulatory surgery centers (ASCs) is spreading. On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) bolstered the trend when it approved the removal of total knee arthroplasty (TKA)…

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By: Leslie Flowers
January 19, 2018
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FDA issues Safety Alert for Zoll LifeVest 4000 Wearable Cardioverter Defibrillator

Editor's Note The Food & Drug Administration (FDA) on January 17 issued a Safety Alert for the Zoll LifeVest 4000 Wearable Cardioverter Defibrillator because of concerns that the device may fail to deliver treatment to patients if the device is not replaced soon after displaying “Call for service: Device has…

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By: Judy Mathias
January 17, 2018
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Meta-analysis supports ‘weekend effect’ for surgical patients

Editor's Note Postoperative mortality rises as the day of the week of elective surgery approaches the weekend and is higher after admission for urgent/emergent surgery on the weekend, this meta-analysis from the University of Calgary finds. The analysis included 10 studies that involved about 6.7 million patients having elective procedures…

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By: Judy Mathias
January 17, 2018
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FDA updates Safety Alert for Cortrak 2 Enteral Access System

Editor's Note The Food & Drug Administration (FDA) on January 12 updated a Safety Alert about pneumothorax events associated with feeding tube placement procedures using the Cortrak 2 Enteral Access System (EAS) by Corpak Medsystems (Buffalo Grove, Illinois). Several of the events were associated with cardiopulmonary arrest, and there were…

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By: Judy Mathias
January 17, 2018
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Patient preference for surgery, antibiotics to treat appendicitis

Editor's Note In this survey, most respondents chose surgical rather than nonsurgical treatment for acute appendicitis. Of 1,728 respondents, 85.8% chose laparoscopic appendectomy, 4.9% chose open appendectomy, and 9.4% chose antibiotics alone as treatments for themselves. For their child, 79.4% chose laparoscopic appendectomy, 6.1% chose open appendectomy, and 14.5% chose…

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By: Judy Mathias
January 16, 2018
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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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