Patient Safety

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

Study characterizes ED visits after total joint procedures

Editor's Note Emergency department (ED) visits after total joint procedures were numerous and mostly for pain-related diagnoses, and Medicaid patients had almost double the risk of an ED or pain-related ED visit, this study finds. Of 152,783 patients analyzed, 3.42% returned to the inpatient setting and 5.81% visited the ED…

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By: Judy Mathias
June 28, 2017
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FDA announces new digital health resources

Editor's Note The Food and Drug Administration (FDA) has announced the creation of a new centralized Digital Health Unit in its Center for Devices and Radiological Health, which together with draft guidance on software as a medical device, is designed to support technological innovation and advance digital health, the June…

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By: Judy Mathias
June 28, 2017
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US News & World Report lists top pediatric hospitals

Editor's Note For the third straight year, Boston Children’s Hospital tops the US News & World Report’s Best Children’s Hospitals Honor Roll. Children’s Hospital of Philadelphia was second, and Cincinnati Children’s Hospital Medical Center was third. US News bases its honor roll on how hospitals rank in each of 10…

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By: Judy Mathias
June 28, 2017
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Alcohol fixation of bacteria to instruments increases cleaning difficulty

Editor's Note Treating contaminated surgical instruments with alcohol, allowing them to dry, or allowing them to soak in water for extended periods of time increases cleaning difficulty and may contribute to sterilization inefficacy, this study finds. Soaking or spraying instruments with alcohol significantly reduced viable bacterial numbers, but significantly increased…

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By: Judy Mathias
June 27, 2017
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New combination of tests identify patients with benign pancreatic cysts

Editor's Note The combination of two molecular biology tests is the first to distinguish, with near certainty, pancreatic lesions that mimic early signs of cancer but are completely benign, this study finds. The vascular endothelial growth factor-A test alone singled out benign serious cystic neoplasms with a sensitivity of 100%…

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By: Judy Mathias
June 26, 2017
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FDA: Fagron Sterile Services recalls three lots of succinylcholine

Editor's Note The Food and Drug Administration (FDA) on June 23 posted the recall by Fagron Sterile Services (Wichita, Kansas) of three lots of succinylcholine chloride 20 mg/mL 5 mL syringes because of microbial growth detected during a simulation of the manufacturing process. This is a secondary recall of products…

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By: Judy Mathias
June 26, 2017
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Lack of shared mental model in cardiac surgical team members may contribute to errors

Editor's Note Cardiac surgical team members recognize distinct critical time points during cardiac surgery, but a high degree of variability exists between members as to the importance of these times, which suggests an absence of a shared mental model, this study finds. Cardiac team members from three institutions developed a…

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By: Judy Mathias
June 23, 2017
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Joint Commission offers free VTE compendium of resources

Editor's Note The Joint Commission on June 21 announced its new, free venous thromboembolism (VTE) compendium of resources. The compendium was developed to help clinicians, healthcare educators, and other healthcare professionals provide reliable and up-to-date patient education materials for VTE and anticoagulation therapy. Joint Commission Online Weekly Newsletter

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By: Judy Mathias
June 23, 2017
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OR fires and surgical skin prep

Editor's Note In this ex vivo study, alcohol-based surgical skin preparations fueled OR fires in common clinical scenarios. No fires occurred with nonalcohol-based preparations. Alcohol-based preparations caused flash flames at 0 minutes in 22% and at 3 minutes in 10% of tests. Testing pooling of alcohol-based preparations, fires occurred in…

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By: Judy Mathias
June 22, 2017
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National Accreditation Program for Rectal Cancer accepting applications

Editor's Note Hospitals with rectal cancer programs may now earn accreditation from the new National Accreditation Program for Rectal Cancer (NAPRC), the American College of Surgeons (ACS) announced on June 21. NAPRC is based on successful international models that have resulted in better outcomes and emphasize a multidisciplinary team approach…

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By: Judy Mathias
June 22, 2017
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