Periop Nursing

Latest Issue of OR Manager
May 2018
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Editorial

Mixed signals about the direction of healthcare reform, payment models, and policy decisions have characterized much of the past year. Given the number of highprofile personnel changes in the Trump Administration, the lack of continuity isn’t surprising. In recent days, however, the Centers for Medicare & Medicaid Services (CMS) has…

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By: Elizabeth Wood
March 16, 2018
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Instrument handling in the OR shines after SPD training

Improving teamwork between OR and sterile processing department (SPD) staff is an obvious way to increase the safety and efficiency of surgical procedures, but getting everyone on the same page can be challenging. Often the staff have limited understanding of what takes place in each respective department. Firsthand observation has…

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By: OR Manager
March 16, 2018
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Readmissions, outcomes after perioperative AMI

Editor's Note In patients having noncardiac surgery who develop a perioperative acute myocardial infarction (AMI), about one in three died in-hospital or were readmitted within 30 days of discharge, finds this study presented March 10 at the 2018 American College of Cardiology Annual Scientific Session. Among more than 3 million…

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By: Judy Mathias
March 14, 2018
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Reductions in LOS not linked to greater use of postacute care facilities

Editor's Note Reductions in hospital length of stay (LOS) for surgical procedures between 2008 and 2014, were not linked to a greater use of postacute care facilities in this study. Researchers studied the relationship between decreased LOS and postacute care using summary measures from the US National Inpatient Sample with…

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By: Judy Mathias
March 14, 2018
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CDC study finds nearly 30% increase in ED visits for opioid overdose

Editor's Note Researchers from the Centers for Disease Control & Prevention (CDC) found that emergency department (ED) visits for opioid overdoses increased 29.7% from July 2016 to September 2017, according to the March 9 Morbidity and Mortality Weekly Report. Every demographic group and all US regions saw increases, but the…

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By: Judy Mathias
March 12, 2018
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FDA warns duodenoscope manufacturers on postmarket study noncompliance

Editor's Note The Food & Drug Administration (FDA) on March 9 issued warning letters to all three duodenoscope manufacturers for failing to comply with federal requirements to conduct postmarket surveillance studies to assess the effectiveness of reprocessing their devices. Olympus failed to start data collection, and Pentax and Fujifilm failed…

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By: Judy Mathias
March 9, 2018
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Prevalence of neurocognitive dysfunction and effects on total joint outcomes

Editor's Note Neurocognitive dysfunction is highly prevalent in total joint candidates and predisposes patients to suboptimal postoperative outcomes including increased ICU admissions and prolonged rehabilitation, this study finds. The researchers found that nearly 54% of 99 patients analyzed had neurocognitive dysfunction, which correlated with age more than 60 years, body…

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By: Judy Mathias
March 7, 2018
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Model helps predict pain, functional outcomes after lumbar spine surgery

Editor's Note In this study, researchers used patient-reported outcome (PRO) scores from 15 hospitals in Washington to create a clinical prediction model for spine surgery patients that explains most of the variability in pain reduction and functional improvement after surgery. The researchers found that after lumbar fusion surgery: 58.0% had…

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By: Judy Mathias
March 7, 2018
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Opioids not better at reducing pain-related function than nonopioids

Editor's Note Opioids were no better than nonopioid medications at improving pain that interfered with activities such as walking, work, and sleep in patients with moderate to severe chronic back pain or hip or knee osteoarthritis pain, in this study. In 240 patients who were followed for 12 months, the…

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By: Judy Mathias
March 6, 2018
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Study: MIS vs open surgery in Medicare population

Editor's Note In this study led by Martin A. Makary, MD, MPH, professor of surgery at the Johns Hopkins University School of Medicine, minimally invasive surgery (MIS) was associated with better outcomes than open procedures in the Medicare population. Of 233,984 Medicare patients who had one of seven common surgical…

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By: Judy Mathias
March 5, 2018
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