Quality Improvement

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

Colorectal ERAS improves outcomes, reduces costs

Editor's Note An Enhanced Recovery after Surgery (ERAS) program for colorectal surgery patients shortened hospital length of stay by more than half, reduced complications by more than one-third, and cut costs by some $11,000 per procedure, finds a study presented July 23 at the American College of Surgeons 2017 Quality…

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By: Judy Mathias
July 31, 2017
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Safety of nipple-sparing mastectomy

Editor's Note Women with breast cancer who have nipple-sparing mastectomies have a low rate of cancer recurrence in the first 5 years, this study finds. Of 311 patients with nipple-sparing mastectomies analyzed, 17 developed a recurrence of their cancer at 51 months median follow-up. Estimated disease-free survival was 95.7% at…

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By: Judy Mathias
July 18, 2017
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Distinguishing risk factors for SSIs after pancreatic surgery

Editor's Note Reporting of surgical site infections (SSIs) after pancreatic surgery should distinguish between superficial and organ-space infections, which will require different preventative strategies, this study finds. Results showed that risk factors for superficial and organ-space SSIs after pancreatic surgery differed. Preoperative biliary stenting was an independent risk factor for superficial…

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By: Judy Mathias
July 13, 2017
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Hybrid OR experts plus exhibit equal exceptional education

Each year, the OR Manager Conference showcases the latest hybrid OR technology along with expert advice from clinicians and manufacturers. The 2017 conference (October 2-4 in Orlando, Florida) will feature an extensive exhibit and opportunities to interact with the Hybrid OR Steering Committee members (sidebar, p 15): • Monday, 2…

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By: Elizabeth Wood
July 13, 2017
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Orthopedic PSH a prime model for value-based care—Part 1

Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Electronic scheduling system radically improves OR workflow

Between the expanding population and the increasing number of surgical procedures being performed, demand for surgical services is climbing. One study has predicted a 14% to 47% increase in surgical demand across all surgical fields by 2020. Given the high cost of operations, an efficient workflow is paramount, and there…

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By: Weston Shertzer, DO, Abdel Ragab, MD, Timothy Frymoyer, Matt Fitzpatrick, Courtney Gorgone, MBA, SSBB and Kelly Baylor, CCRC
July 13, 2017
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Reducing robotic OR turnover times with a pit stop model

Editor's Note Concepts from motor racing pit stops, including role definition, task allocation, task sequencing, and a visual cue for ease-of-use, created efficient and sustainable approaches for decreasing robotic OR turnover times in this study. Average turnover time was 99.2 minutes before introducing the pit stop model and 53.2 minutes…

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By: Judy Mathias
July 11, 2017
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Outcomes, costs associated with appendectomy in safety-net hospitals

Editor's Note Safety-net hospitals treat a disproportionate number of patients with advanced appendicitis and use laparoscopy less often, but their rates of morbidity and costs are similar to other hospitals, this study finds. In this analysis of 349 nonfederally funded hospitals in California performing 274,405 appendectomies, safety-net (compared with non-safety-net)…

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By: Judy Mathias
July 10, 2017
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New guidelines published on enhanced recovery after colon, rectal surgery

Editor's Note The American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal Endoscopic Surgeons have jointly published new clinical practice guidelines on enhanced recovery after colon and rectal surgery. The enhanced recovery protocol is multidisciplinary, including physicians, nurses, physical therapists, and dietitians and involves all aspects of care…

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By: Judy Mathias
July 10, 2017
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Influence of nurse leaders on professional practice environment

Editor's Note Nurse leaders are integral in enhancing professional practice environments, and their influence links structures necessary for an environment that supports outcomes, this study finds. In this analysis of 30 nurse leaders and 169 clinical nurses at a 247-bed acute care Magnet hospital, leaders perceived their influence from “often”…

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By: Judy Mathias
July 6, 2017
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