Patient Safety

Latest Issue of OR Manager
February 2018
Home Safety/Quality > Patient Safety > Patient Safety

Preop antibiotics significantly lower SSI risk in left colorectal surgery

Editor's Note Adding oral antibiotics to mechanical bowel preparation for left colorectal cancer surgery significantly lowered the rate of surgical site infections (SSIs), but the effect was marginal in right-colon resections, this study finds. For 89 patients having left colorectal resections, the rate of SSIs was 27% with mechanical bowel…

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By: Judy Mathias
October 23, 2017
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FDA updates Safety Alert for St Jude defibrillators

Editor's Note The Food and Drug Administration (FDA) on October 19 issued an updated Safety Alert for implantable cardioverter defibrillators and cardiac resynchronization therapy defibrillators by St Jude Medical. Because batteries for the devices may fail earlier than expected, St Jude has made available a new battery performance management tool,…

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By: Judy Mathias
October 23, 2017
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Penicillin allergy linked to SSI risk

  Editor's Note In this study from the Massachusetts General Hospital, Boston, patients with penicillin allergies had a 50% increased odds of developing surgical site infections (SSIs), which the researchers attributed to the second-line antibiotics administered to them.  A total of 8,385 patients who had surgery between 2010 and 2014…

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By: Judy Mathias
October 19, 2017
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ACS NSQIP recognizes 66 hospitals for meritorious outcomes

  Editor's Note The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) on October 18 recognized 66 of 680 hospitals participating in the adult program for achieving meritorious outcomes for surgical patient care in 2016. ACS NSQIP hospitals are required to track outcomes for inpatient and outpatient…

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By: Judy Mathias
October 19, 2017
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CMUNRO SCALE created to facilitate risk assessment for pressure injuries

In 2016, after 10 years of research and validation, Cassendra Munro’s Pressure Ulcer Risk Assessment Scale for Perioperative Patients (Munro Scale) was made available for use in the perioperative setting and was added to the AORN Prevention of Pressure Ulcers Tool Kit. The Munro Scale assesses a patient’s risk level…

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By: Judith M. Mathias, MA, RN
October 19, 2017
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Improved communication tools put PACU visitors at ease

About 8 years ago, Maine Medical Center (MMC) in Portland had a policy that required visitors to wait in the surgery waiting room at least 3 hours before being allowed to visit their loved ones. The postanesthesia care unit (PACU) nurse was not expected to communicate with the family while…

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By: OR Manager
October 19, 2017
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Walk the talk: Words matter when it comes to patient safety

Every week Ann Shimek, MSN, BSN, RN, CASC, hits the road to communicate about communicating. Shimek is senior vice president of clinical operations at United Surgical Partners International (USPI) in Addison, Texas. She and her team of six clinical nurses travel among USPI’s 21 hospitals and 260 ambulatory surgery centers…

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By: Leslie Flowers
October 19, 2017
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ACS NSQIP pilot identifies geriatric–specific risk factors that affect surgical outcomes

Editor's Note A new pilot study from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) finds that adding geriatric-specific risk factors to traditional risk factors could significantly improve the ability of surgeons to predict poor surgical outcomes in older patients. The study involved 36,399 older surgical…

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By: Judy Mathias
October 18, 2017
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Frailty linked to increased morbidity after ambulatory general surgery

Editor's Note Frailty was associated with postoperative morbidity in patients having ambulatory general surgery procedures, independent of age, type of anesthesia, and other comorbidities, this study finds. In this study of 140,828 patients older than 40 years of age, frailty was associated with increased adjusted odds of 30-day morbidity after…

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By: Judy Mathias
October 16, 2017
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Low-cost, high-volume services account for most of unnecessary healthcare spending

Editor's Note Low-cost, high-volume healthcare services account for a high percentage of unnecessary spending, adding strain to the healthcare system, this study finds. In this analysis of 5.5 million patients in Virginia, researchers found that services providing no net health benefits cost the state’s healthcare system more than $586 million…

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By: Judy Mathias
October 12, 2017
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