Patient Safety

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October 2017
Home Safety/Quality > Patient Safety > Patient Safety

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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FDA: Vascular Solutions recalls Venture Catheters

Editor's Note The Food and Drug Administration (FDA) on June 21 announced the recall by Vascular Solutions (Maple Grove, Minnesota) of its Venture Catheters. The recall was initiated because there is a risk of the catheter tip splitting or separating during use and entering the patient’s bloodstream. This can result…

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By: Judy Mathias
June 22, 2017
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Analysis finds unplanned returns to the OR overestimated

Editor's Note In this single institution study, the most common reasons for unplanned return to the OR (uROR) were infection and hemorrhage. However, the researchers found that a large number of cases were incorrectly classified as uROR, when they were instead planned reoperations without adequate documentation. Using uROR as reported…

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By: Judy Mathias
June 21, 2017
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Joint Commission redesigns ESC form

Editor's Note The Joint Commission announced on June 21 a redesign of its Evidence of Standards Compliance (ESC) form. The form was redesigned to help organizations focus on describing the critical aspects of corrective actions they have taken to resolve Requirements for Improvement, and to help ensure sustainability of those…

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By: Judy Mathias
June 21, 2017
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FDA: Alvogen recalls seven lots of clindamycin

Editor's Note The Food and Drug Administration (FDA) on June 16 announced the recall by Alvogen/Hospira Inc, a Pfizer company, of seven lots of Clindamycin Injection USP ADD-Vantage Vials. The recall was initiated because microbial growth was detected during a routine simulation of the manufacturing process, which represents the potential…

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By: Judy Mathias
June 21, 2017
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Surgical ‘ICU boarders’ get less attention from physicians, caregivers

Editor's Note Surgical ICU patients boarding in alternative ICUs because of overcrowding are often seen at the end of rounds, receive fewer face-to-face assessments from physicians, and are given less bedside attention by ICU provider teams, this study finds. The researchers found that: caregivers spent about 16% less time on…

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By: Judy Mathias
June 20, 2017
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