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Preop patient frailty, operative stress linked to postop mortality

Editor's Note Even minor surgical procedures are associated with high risks for mortality in patients who are frail, finds this study. In this retrospective analysis of 432,828 patients in the Veterans Administration Surgical Quality Improvement Program, frailty was associated with increased 30-, 90-, and 180-day mortality across all levels of…

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By: Judy Mathias
November 19, 2019
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Knowing yourself is key to being a leader

Editor's Note To lead others, managers must first know how to lead themselves, writes Laurie Ruettimann in the November 17 laurieruettimann.com. Leadership is only possible after managers know what they stand for, where they come from, what they intend to do, and how they actually act, Ruettimann says. Self-leadership is…

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By: Judy Mathias
November 19, 2019
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AI evaluation of ECGs predicts irregular heart rhythm, death risk

Editor's Note Artificial intelligence (AI) was able to predict which patients were likely to develop an irregular heart rhythm, even when physicians interpreted results as normal, and identified patients at increased risk of dying of any cause within 1 year, in this study presented November 16 at the American Heart…

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By: Judy Mathias
November 18, 2019
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FDA clears first duodenoscope with disposable elevator component

Editor's Note The Food & Drug Administration (FDA) on November 15 announced that it had cleared for marketing in the US the first duodenoscope with a sterile, disposable elevator component. The clearance of the Pentax Medical Video ED34-i10T2 duodenoscope represents a major step toward lowering the risk of infection in…

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By: Judy Mathias
November 18, 2019
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Data-driven surgical scheduling system improves efficiency

Editor's Note Compared to the historical mean (HM) scheduling approach, the data-driven regression modeling (RM) method improves multiple measures of operative suite efficiency and personnel satisfaction without adversely affecting clinical outcomes, this study finds. The HM approach included case duration of the most recent 4 years, and the RM system…

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By: Judy Mathias
November 14, 2019
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FDA: Class I recall of Zimmer Biomet’s ROSA Brain 3.0 Robotic Surgery System

Editor's Note The Food & Drug Administration on November 7 identified the recall by Zimmer Biomet of its ROSA Brain 3.0 Robotic Surgery System as Class I, the most serious. The recall was initiated because of a software issue that incorrectly positions the robotic arm. The company has received five…

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By: Judy Mathias
November 14, 2019
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Preventive program reduces work-related musculoskeletal disorders in surgeons

Editor's Note In this multicenter study, a global program based on the application of ergonomics in the OR and specific physical exercises reduced work-related musculoskeletal disorders among surgeons. A total of 141 surgeons were randomized to either the preventive program (PP) group (65 surgeons) or the no preventive program (NPP)…

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By: Judy Mathias
November 14, 2019
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Joint Commission’s new Speak Up campaign focuses on patients’ rights

Editor's Note The Joint Commission on November 13 announced a new Speak Up campaign that focuses on the right of patients to be informed about and make decisions on their care. “Speak Up For Your Rights” offers free materials to download and give to patients and their families, including: An…

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By: Judy Mathias
November 14, 2019
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Postop infection linked to risk of long-term infection, mortality

Editor's Note Infection after surgery during postoperative days 0 to 30 is significantly associated with long-term infection and mortality, this study finds. In this analysis of 659,486 patients from the Veterans Health Administration, 3.6% had a 30-day infection, 6.6% had a long-term infection, and 3.8% died during follow-up. At any…

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By: Judy Mathias
November 12, 2019
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Perioperative Nurse Week is November 10 to 16

Editor's Note Every year, Perioperative Nurse Week focuses attention on the work of more than 160,000 nurses who advocate for surgical patients. During the week, perioperative nurses are honored by colleagues and communities to highlight the ways in which nurses are working to improve patient safety−before, during, and after surgery−in…

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By: Judy Mathias
November 12, 2019
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