Patient Safety

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

Diffusion, implementation of acute care surgery across the US

Editor's Note Acute care surgery (ie, an organized system of trauma, general surgery, and critical care) implementation has occurred unevenly across the US, with rural communities and regions the slowest, this study finds. Of 1,690 hospitals surveyed, 272 had implemented acute care surgery by 2015−an increase from 34 in 2001…

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By: Judy Mathias
October 9, 2017
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Joint Commission begins Phase 4 revisions of EP Review Project

Editor's Note The Joint Commission on October 4 announced that Phase 4 of the EP [elements of performance] Review Project has begun, with EPs across all accreditation programs being evaluated for streamlining and consolidation. Revisions from the first part of Phase 4 will take effect January 1, 2018. Consolidation is…

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By: Judy Mathias
October 9, 2017
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Factors linked to readmission after total hip

Editor's Note All-cause readmission is the only metric in widespread use, but it overlooks important information that enables readmission risk to be understood, this study finds. Of 514,455 patients in the UK analyzed over a 10-year period, there were 30,489 all-cause readmissions, 16,499 readmissions related to the surgical site, and…

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By: Judy Mathias
October 5, 2017
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Joint Commission deletes Medication Management EP

Editor's Note The Joint Commission announced on October 4 that it is deleting element of performance (EP) 3 for Medication Management 09.01.01 for hospitals and critical access hospitals, effective October 1. The standard states: “The [critical access] hospital educates patients, and their families as needed, regarding the appropriate use of…

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By: Judy Mathias
October 5, 2017
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FDA issues Safety Alert for intraocular TMV injections

Editor's Note The Food & Drug Administration (FDA) on October 3 issued a Safety Alert saying the agency had received an adverse event report on a patient who was diagnosed with bilateral hemorrhagic occlusive retinal vasculitis after being administered injections of a compounded triamcinolone, moxifloxacin, vancomycin (TMV) formulation in each…

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By: Judy Mathias
October 5, 2017
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FDA alerts healthcare providers about EVAR graft endoleaks

Editor's Note The Food & Drug Administration (FDA) on September 28 sent letters to vascular and cardiothoracic surgeons, radiologists, and cardiologists, alerting them to an increase in Type III endoleaks associated with endovascular graft systems used in endovascular aneurysm repair (EVAR) for abdominal aortic and aorto-iliac aneurysms. The FDA’s letter…

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By: Judy Mathias
September 28, 2017
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Preop conditions that predict postop outcomes, mortality in elderly

Editor's Note In patients 85 years of age and older, surgical complexity and certain geriatric variables (malnutrition, frailty), which are overlooked in American Society of Anesthesiologists and most other scores, were relevant in predicting postoperative outcomes and mortality, finds this study. Of 127 patients who completed follow-up, 30-day mortality was…

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By: Judy Mathias
September 27, 2017
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California department of Public Health issues penalties to 10 hospitals

Editor's Note The California Department of Public Health (CDPH) on August 31 issued 10 penalties to 10 California hospitals along with fines totaling $618,002. Of these, three applied to the OR: Loma Linda University Medical Center, Murrieta−a patient sustained a full thickness thermal burn injury to the left calf from…

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By: Judy Mathias
September 27, 2017
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Joint Commission posts sentinel event stats for first half of 2017

Editor's Note The Joint Commission on September 20 posted sentinel event statistics from its database through June 30, 2017. Of the top 10 most frequently reported sentinel events during this time period: Falls topped the list with 49 events. Unintended retention of a foreign object was 3rd with 41 events.…

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By: Judy Mathias
September 27, 2017
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Study: Bariatric surgery lowers cancer risk

Editor's Note In this large multi-site study, bariatric surgery was associated with a lower risk of cancer, particularly obesity-associated cancers, such as postmenopausal breast cancer, endometrial cancer, and colon cancer. The study included five study sites with 22,198 patients who had bariatric surgery and 66,427 nonsurgical matched subjects. At a…

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By: Judy Mathias
September 26, 2017
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