Surgical/Anesthesia

Latest Issue of OR Manager
March 2018
Home Surgical/Anesthesia

Physicians negatively affected by EHRs

Editor's Note Physicians are more likely to leave the profession or reduce their hours if they are uncomfortable using electronic health records (EHRs), the January 24 Medical Economics reports. Although EHRs have the potential to enhance quality of care and clinical coordination, they also increase risk of physician burnout, reduce…

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By: Judy Mathias
January 25, 2018
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Joint Commission Quick Safety reports on supporting second victims

Editor's Note The Joint Commission on January 24 announced that its January Quick Safety examines second victim experiences and safety actions to consider, and it also includes an anonymous, personal story of a Joint Commission employee who is a second victim. Though the patient and family are the priority for…

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By: Judy Mathias
January 25, 2018
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Study: Manual, automated cleaning equally effective for laparoscopes

Editor's Note In this experimental laboratory study, all cleaning and rinsing methods tested were effective in reducing the levels of organic residues on laparoscopic instruments. Four methods were examined: manual-only cleaning and rinsing with potable tap water manual cleaning and rinsing with potable tap water, followed by ultrasonic cleaning without…

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By: Judy Mathias
January 24, 2018
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New clinical practice guidelines address anticoagulation during cardiopulmonary bypass

Editor's Note The Society of Thoracic Surgeons, Society of Cardiovascular Anesthesiologists, and the American Society of ExtraCorporeal Technology on January 19 announced the release of new clinical practice guidelines on the use of anticoagulants during cardiopulmonary bypass (CPB). Among the guideline recommendations are: optimal heparin dosing for initiation and maintenance…

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By: Judy Mathias
January 23, 2018
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Changes in prevalence of needlestick injuries, protection practices, and attitudes over 12 years

Editor's Note Though needlestick injuries and exposure to bloodborne pathogens continue to be significant hazards for surgeons and nurses, concern about risk is declining, and the true conversion risk is underestimated, this study finds. A survey was distributed to 358 medical students and 247 department of surgery staff at an…

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By: Judy Mathias
January 19, 2018
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Factors linked to outcomes, costs after pediatric lap chole

Editor's Note Surgeon volume of adult general surgical procedures was significantly associated with lower morbidity and costs after pediatric laparoscopic cholecystectomy in this study. Of 3,519 laparoscopic cholecystectomies performed in pediatric patients, the overall morbidity rate was 3.9%. High-volume general surgeons had an odds of all-cause morbidity that was 68%…

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By: Judy Mathias
January 19, 2018
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Visual cues help PACU staff avoid medication errors

Concern about opioid abuse has reached epic proportions in recent months, and healthcare providers have come under increasing pressure to help mitigate the problem. Curbing the tendency to overprescribe pain medications is considered the first, most obvious step, but there are other actions that can also improve patient safety. Nurse…

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By: Judith M. Mathias, MA, RN
January 19, 2018
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New ASC credential reflects expertise in infection prevention

Licensed healthcare professionals working in ambulatory surgery centers (ASCs) can now earn a Certified Ambulatory Infection Preventionist™ (CAIP™) credential to demonstrate their understanding of the skills and knowledge required to fill the role of an infection preventionist (IP) in an ASC. The new certification program can also help IPs working…

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By: Gina Throneberry, MBA, RN, CASC, CNOR
January 19, 2018
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Total joints present increasingly attractive option for ASCs

The migration of total joint replacements for knees and hips from inpatient hospital ORs to hospital outpatient departments and ambulatory surgery centers (ASCs) is spreading. On November 1, 2017, the Centers for Medicare & Medicaid Services (CMS) bolstered the trend when it approved the removal of total knee arthroplasty (TKA)…

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By: Leslie Flowers
January 19, 2018
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Your ASC is for sale--what's next?

Mergers and acquisitions of ambulatory surgery centers (ASCs) have increased recently, as organizations perceive the opportunities provided by growth markets, and ASCs realize the benefits of having access to a larger provider network, such as a pipeline of patients and more power in negotiating with insurers. Those transactions can have…

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By: Cynthia Saver, MS, RN
January 19, 2018
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