Patient Safety

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December 2017
Home Safety/Quality > Patient Safety > Patient Safety

Colorectal ERAS improves outcomes, reduces costs

Editor's Note An Enhanced Recovery after Surgery (ERAS) program for colorectal surgery patients shortened hospital length of stay by more than half, reduced complications by more than one-third, and cut costs by some $11,000 per procedure, finds a study presented July 23 at the American College of Surgeons 2017 Quality…

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By: Judy Mathias
July 31, 2017
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FDA: All ED-530XT duodenoscopes by Fujifilm recalled

Editor's Note The Food and Drug Administration (FDA) on July 21 announced the recall by Fujifilm of its ED-530XT duodenoscopes. The recall includes replacement of the ED-530XT forceps elevator mechanism including the o-ring seal, replacement of the distal end cap, and a new operations manual. The FDA cleared the updated…

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By: Judy Mathias
July 31, 2017
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CDC issues new report on antibiotic use

Editor's Note The Centers for Disease Control and Prevention on July 26 issued a new report titled “Antibiotic Use in the United States, 2017: Progress and Opportunities.” The report includes information on the current status of antibiotic use in healthcare settings, highlighting programs and resources to support antibiotic stewardship (ie,…

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By: Judy Mathias
July 31, 2017
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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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