Quality Improvement

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

Gastric bypass found to be durable long term

Editor's Note This 12-year study showed long-term durability of weight loss and effective remission and prevention of type 2 diabetes, hypertension, and dyslipidemia after Roux-en-Y gastric bypass surgery. For the study, 1,156 severely obese patients were divided into three groups: 418 who sought and had Roux-en-Y gastric bypass (surgery group),…

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By: Judy Mathias
September 21, 2017
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Little change in physical activity after total joint surgery

Editor's Note Physical activity in total joint patients did not change at 6 months after surgery and small-moderate improvement was found at 12 months, despite large improvements in pain and quality of life, this meta-analysis finds. A total of seven studies (336 patients) were analyzed. Reasons for the lack of…

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By: Judy Mathias
September 20, 2017
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Editorial

Since July, when repeal and replacement of the Affordable Care Act (ACA) stalled, healthcare reform has been somewhat overshadowed by events such as natural disasters and concerns about national security. Now, with insurers due to announce rates for the coming year, Congress is working on a bill to stabilize the…

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By: Elizabeth Wood
September 20, 2017
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PACU patient flow improves with CRNA assistance

Throughput inefficiencies are a growing problem in surgical services departments. Patients are held in the OR because there is no room in the postanesthesia care unit (PACU), and patients are held in the PACU because there are no beds available in the patient care unit or because outpatients having major…

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By: Judith M. Mathias, MA, RN
September 20, 2017
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Efficiency efforts improve staff satisfaction with turnover time

Cost mitigation has become a priority in the American healthcare industry, and addressing inefficiencies is a popular way to curb the high cost of medical care. Decreasing turnover time between cases may pave the way for additional cases to be scheduled, theoretically leading to increased revenue for the hospital. However,…

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By: OR Manager
September 20, 2017
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CMS proposes delay for mandatory implementation of OAS CAHPS Survey

Responding to industry concerns, the Centers for Medicare & Medicaid Services (CMS) has proposed a delay in the mandatory implementation of the patient experience of care satisfaction survey requirement known as the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey® (OAS CAHPS). CMS announced the proposed…

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By: Leslie Flowers
September 20, 2017
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CMS granting exemptions for providers affected by Hurricane Irma

Editor's Note The Centers for Medicare & Medicaid Services (CMS) is granting exemptions under Medicare quality reporting and value-based purchasing programs for certified providers (eg, acute care hospitals, long-term care hospitals, ambulatory surgical centers) affected by storms and flooding from Hurricane Irma. Providers will be granted exemptions without having to…

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By: Judy Mathias
September 19, 2017
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Safety of transoral endoscopic thyroidectomy

Editor's Note The transoral endoscopic thyroidectomy vestibular approach can be safe for select patients, with outcomes similar to those of the open approach, this study finds. Of 425 patients analyzed, the operative time for the transoral approach was longer than the open approach (100.8 vs 79.4 minutes) but transoral patients…

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By: Judy Mathias
September 11, 2017
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No consensus on what defines a high-performing system

Editor's Note In this study, researchers reviewed literature from a 10-year period and found no consensus on what defines a high-performing healthcare delivery system or healthcare organization. High performance was variably defined across different dimensions, including: quality (93% of articles) cost (67%) access (35%) equity (26%) patient experience (21%) patient…

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By: Judy Mathias
September 7, 2017
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CMS grants exceptions for quality reporting to ASCs in Harvey’s path

Editor's Notes The Centers for Medicare & Medicaid Services (CMS) will grant exceptions for quality reporting requirements for ambulatory surgery centers (ASCs) located in the path of Hurricane Harvey, the September 1 ASCA News reports. ASCs in affected counties and parishes in Texas and Louisiana will get exceptions without having…

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By: Judy Mathias
September 6, 2017
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