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October 2018

Effect of surgeon sleep loss on patient outcomes

Editor's Note The risk of adverse outcomes in patients having elective daytime surgical procedures was similar whether the surgeon performed surgery the night before or not, this study finds. There were no significant differences in patient mortality, readmission, or complications when surgeons worked after midnight, compared to when surgeons did…

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By: OR Manager
September 1, 2015
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Sentinel events reviewed by the Joint Commission, 1995-2015

Editor's Note The Joint Commission reviewed 9,119 sentinel events from 1995 through the second quarter of 2015. They included: 1,162—wrong-patient, wrong-site, wrong-procedure 1,037—unintended retention of a foreign body 1,013—delay in treatment 884—op/postop complication 228—medical-equipment related 182—infection-related event 130—fire 109—anesthesia-related event.  

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By: OR Manager
August 31, 2015
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Joint Commission identifies top five challenging requirements

Editor's Note The Joint Commission has identified five requirements for accreditation that healthcare organizations were most frequently found as “non compliant” during surveys and reviews from January 1 to June 30, 2015. They are: Laboratory and Point-of-Care Testing QSA.01.01.01: The laboratory participates in Centers for Medicare & Medicaid Services approved…

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By: OR Manager
August 31, 2015
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Seniors more likely to be admitted after ambulatory surgery

Editor's Note Seniors are much more likely than younger patients to be admitted to the hospital after ambulatory surgery, this study finds. Of more than 53,000 patients analyzed, those aged 65 and older were 54% more likely to be admitted to the hospital within 30 days of ambulatory surgery than…

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By: OR Manager
August 31, 2015
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Most Medicare ACOs received no bonuses in 2014

Editor's Note Only 97 of 353 Medicare accountable care organizations (ACOs) met targets for quality and slowed spending enough to earn bonuses in 2014, Modern Healthcare reports. This is a continuation of mixed results for the ACO initiative that the Obama administration has targeted for rapid expansion through 2018. The…

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By: OR Manager
August 31, 2015
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FDA: Class I recall of Alaris Syringe Pump by CareFusion

Editor's Note The Food and Drug Administration on August 27 categorized a recall of the Alaris Syringe Pump (model number 8110) by CareFusion as Class I, the most serious. An error in the pump triggers a visual and audible alarm that causes the pump to stop supplying the infusion to…

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By: OR Manager
August 31, 2015
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CDC updates Ebola PPE guidelines

Editor's Note The Centers for Disease Control and Prevention on August 27 updated its guidelines for personal protective equipment (PPE) to be used by healthcare personnel caring for suspected and confirmed Ebola patients. The guidance clarifies the use of fluid-resistant and impermeable gowns and coveralls and provides additional explanation on:…

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By: OR Manager
August 31, 2015
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Editorial asks if surveillance cameras in ASCs are a good idea

Editor's Note A proposed law would require ASCs and hospitals to install surveillance cameras in their ORs. Whether they are a good idea or not depends on why they are there, according to an editorial in Outpatient Surgery Magazine. If they are intended to enhance performance and find out why…

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By: OR Manager
August 21, 2015
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ECRI Institute offers new robotic surgery planning service

Editor's Note ECRI Institute is offering a new robotic surgery planning service that gives hospitals an independent second opinion when starting or expanding a robotic surgery program.  The service focuses on:  Strategic planning  Quality and training  Financial assessment.   The high costs, risks, and questionable patient outcomes associated with robotic…

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By: OR Manager
August 21, 2015
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Outcomes for robotic vs nonrobotic cardiac surgery

Editor's Note Robotic-assisted cardiac surgery had significantly reduced length of stay, complications, and mortality compared with nonrobotic surgery in this study. Robotic-assisted had a higher median cost than nonrobotic surgery ($39,030 vs $36,340). The results show that robotic-assisted is as safe as nonrobotic cardiac surgery and offers surgeons an additional…

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By: OR Manager
August 21, 2015
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