Patient Safety

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

Clotting assay predicts need for massive transfusion in trauma patients

Editor's Note Using a new blood clot strength test based on a modified thrombelastography (TEG) assay with exogenous tissue plasminogen activator (tPA), researchers at the University of Colorado, Denver, were quickly able to assess the overall ability of blood to clot and identify trauma patients in need of a massive…

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By: Judy Mathias
May 23, 2017
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FDA: Class I recall of Wingman35 Crossing Catheters

Editor's Note The Food and Drug Administration on May 17 identified the recall by ReFlow Medical (San Clemente, California) of certain lots of its Wingman35 Crossing Catheters as Class I, the most serious. The catheters are being recalled because of tip splitting or separation that has resulted in two adverse…

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By: Judy Mathias
May 23, 2017
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Effect of early discharge after surgery on costs

Editor's Note Early postoperative discharge after major inpatient surgery was associated with lower total surgical episode payments in this study. In this analysis of 639,943 Medicare beneficiaries undergoing colectomy, coronary artery bypass grafting (CABG), or total hip replacement, payments were significantly lower in hospitals with lowest vs highest length of…

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By: Judy Mathias
May 19, 2017
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FDA: Abbott recalls coronary catheters

Editor's Note The Food and Drug Administration on May 16 announced the recall by Abbott of specific lots of three coronary dilation and balloon catheters: NC Trek RX Coronary Dilation Catheter NC Traveler Coronary Dilation Catheter NC Tenku RX PTCA Balloon Catheter. The affected lots were manufactured between January 2015…

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By: Judy Mathias
May 19, 2017
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Warmer weather linked to increase in SSIs

Editor's Note Temperatures above 90o F were associated with a 28.9% increase in odds for surgical site infections (SSIs) compared to temperatures less than 40o F in this study. Analyzing data on millions of patients in the National Inpatient Sample database from 1998 to 2011, researchers found that SSIs were seasonal, with…

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By: Judy Mathias
May 17, 2017
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AHRQ: Surgical procedures performed in hospital outpatient vs inpatient settings

Editor's Note In 2014, 58% of the 17.2 million hospital-based surgical procedures took place in outpatient settings, according to a report from the Agency for Healthcare Research and Quality (AHRQ). The report, which helps to quantify ongoing shifts to more outpatient surgical procedures, found that the most common outpatient procedures…

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By: Judy Mathias
May 17, 2017
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Effect of adverse events on postop outcomes

Editor's Note Intraoperative adverse events are independently associated with increased postoperative mortality, morbidity, and prolonged length of stay (LOS), this study finds. Of 9,288 abdominal surgical procedures analyzed, 183 had intraoperative adverse events. Most consisted of bowel (44%) or vessel (29%) injuries, which were addressed intraoperatively (92%). Multivariate analysis showed…

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By: Judy Mathias
May 17, 2017
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New staffing schedule unclogs PACU bottleneck

Perioperative services is a key driver for financial performance, and efficient use of space and staffing is vital in the current era of declining reimbursement. A bottleneck in any of the three phases of surgery—pre-, intra-, and postoperative—can result in long delays as well as surgeon, anesthesiologist, and staff anxiety…

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By: Judith M. Mathais, MA, RN
May 17, 2017
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Top 10 Patient Safety Concerns for 2017

Healthcare is striving to become an industry of high-reliability organizations, and part of being a high-reliability industry means staying vigilant and identifying problems proactively. ECRI Institute’s annual Top 10 list helps organizations identify looming patient safety challenges and offers suggestions and resources for addressing them. ECRI Institute relied on event…

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By: OR Manager
May 17, 2017
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Consider a sterilization subject matter expert to increase compliance

Compliance with sterilization and disinfection standards is critical to patient safety, yet Joint Commission surveyors continue to cite healthcare facilities for noncompliance with high-level disinfection (HLD) and sterilization processes during accreditation surveys. Organizations with HLD and/or sterilization breaches during a survey may receive an immediate threat to life or adverse…

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By: Susan Klacik, BS, ACE, CHL, CRCST, FCS
May 17, 2017
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