Patient Safety

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

FDA: Hospira recalls 25% Dextrose Injection

Editor's Note The Food and Drug Administration (FDA) on April 24 announced the recall by Hospira (Lake Forest, Illinois) of one lot of 25% Dextrose Injection, USP, (infant) prefilled syringes because of the presence of particulate matter identified as human hair. The affected lot is NDC: 0409-1775-10, Lot 58382EV, Expiry…

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By: Judy Mathias
April 25, 2017
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VA hospitals outperform non-VA hospitals on outcomes

Editor's Note In this study, data show that Veterans Affairs (VA) hospitals have a similar or more favorable quality compared with non-VA hospitals. Data for 129 VA and 4,010 non-VA hospitals were evaluated on 17 outcome measures (9 Agency for Healthcare Research and Quality Patient Safety Indicators [PSIs], 4 mortality…

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By: Judy Mathias
April 21, 2017
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Interhospital comparison of orthopedic SSIs

Editor's Note Deep surgical site infection (SSI) rates in orthopedic surgical procedures may be a better tool for interhospital comparisons than overall SSI rates, this study finds. Researchers in Finland analyzed infection surveillance data for 73,227 total hip arthroplasties and 56,860 total knee arthroplasties performed in 18 hospitals from 1999…

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By: Judy Mathias
April 21, 2017
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Causes, characteristics of ICU deaths

Editor's Note In this French study, the majority of ICU patients had at least one organ failure at the time of death. Of 698 patients analyzed, 84% had one or more organ failures and 89% required at least one organ support at the time of death. Deaths were considered unexpected…

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By: Judy Mathias
April 21, 2017
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Evidence-based practice supports adopting ERAS protocols

As part of the shift to value-based care, a logical step for healthcare organizations is to adopt enhanced recovery after surgery (ERAS) protocols. The literature supporting the use of ERAS is growing, with many studies demonstrating that it leads to shorter length of stay (LOS) and fewer complications. Results of…

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By: Elizabeth Wood
April 21, 2017
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Turnover times improve with multiphase approach

Major changes at a facility such as reorganizing service lines or adding new ORs can be highly disruptive, cutting into productivity and potentially loss of revenue. What can OR managers do to avoid this situation? At Vanderbilt University Medical Center in Nashville, OR leaders were facing several simultaneous challenges: planning…

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By: Cynthia Saver, MS, RN
April 21, 2017
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Can infrared sensors reliably measure OR traffic?

The incidence of surgical site infections (SSIs) is estimated to exceed 290,000 cases per year, and costs can range from $11,874 to $34,670 for inpatient hospital services. Studies have demonstrated a link between SSI rates and airborne bacterial counts in the OR. Some facilities have used trained observers to monitor…

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By: OR Manager
April 21, 2017
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Outpatient appendectomy feasible in safety net hospital

Editor's Note Outpatient laparoscopic appendectomy is safe in a public safety net hospital and results in shorter length of stay and decreased healthcare costs, this study finds. A total of 351 patients were enrolled in the study: 173 outpatients and 178 inpatient controls. Of the 173 outpatients, 113 were discharged…

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By: Judy Mathias
April 20, 2017
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Study: Checklist helps reduce postop mortality

Editor's Note A study of 14 South Carolina hospitals found the use of a 19-item surgical checklist developed by the World Health Organization resulted in a 22% decrease in postoperative mortality over 3 years, compared with hospitals not participating in the checklist program. In the 14 participating hospitals, mortality was…

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By: Judy Mathias
April 20, 2017
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Using adverse event-free admissions as patient safety indicator

Editor's Note Adverse event-free admissions provide a patient-centered indicator that aligns directly with patient safety, this study finds. Using Medicare data from 2009 to 2011, researchers found that 64% of 24 million admissions had no adverse events. Multiple events were recorded in 22.7%, and 15% of these had more than…

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By: Judy Mathias
April 19, 2017
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