Periop Nursing

Latest Issue of OR Manager
August 2018
Home Periop Nursing

Opioid use before total joint replacements linked to higher readmission, revision rates

Editor's Note Preoperative opioid use was associated with significantly increased risks of early revisions and 30-day readmissions after total knee and total hip arthroplasties, this study finds. The study included 324,154 patients in a 1-year follow-up group and 159,822 in a 3-year follow-up group. For total knee patients, the hospital…

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By: Judy Mathias
July 19, 2018
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Lowering default pill counts in EHR systems associated with postop opioid prescribing

Editor's Note Lowering the default number of opioid pills prescribed in an electronic health record (EHR) system is a simple, effective, inexpensive, and potentially scalable intervention to change prescriber behavior and decrease the amount of opioids prescribed postoperatively, finds this study. In this analysis of 1,447 procedures before the default…

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By: Judy Mathias
July 19, 2018
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Association between skilled nursing facility use and postop readmission rates

Editor's Note Use of postacute care in skilled nursing facilities (SNFs) for total hip replacement (THR) and coronary artery bypass grafting (CABG) patients was not associated with changes in readmission rates, in this study. Of 176,994 CABG patients at 804 hospitals and 233,955 THR patients at 1,220 hospitals, SNF use…

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By: Judy Mathias
July 17, 2018
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Slurpee straw inspires smudge-free laparoscopic camera

Editor's Note University of Texas engineering students have created a laparoscopic camera cleaner designed like a 7-Eleven Slurpee straw that keeps a camera smudge-free, the July 17 Medical Design & Outsourcing reports. The “ClearCam” device has a scoop-like shape that acts like a squeegee to clean the camera. Surgeons can…

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By: Judy Mathias
July 17, 2018
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Preventability of early vs late readmissions

Editor's Note Preventability of readmissions changes with time, this study finds. Readmissions within the first week after discharge were more likely to be preventable by hospital-based interventions, whereas later readmissions were less likely to be preventable and more amenable to ambulatory and home-based interventions. This analysis of 822 patients readmitted…

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By: Judy Mathias
July 13, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Setting Our Moral Compass: Abating Abuse of Power in the OR

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Massachusetts will vote on nurse staffing limits in November

Editor's Note Massachusetts voters will decide in November whether to mandate nurse staffing limits in hospitals, the July 9 Boston Business Journal reports. The nurse staffing question, which is being spearheaded by the Massachusetts Nurses Association, will ask voters to establish patient-to-nurse limits in different areas of the hospital. Hospitals…

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By: Judy Mathias
July 13, 2018
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Study: Prevalence of preop opioid use and patient characteristics

Editor's Note In this study of 34,186 surgical patients in the University of Michigan Health System, 23.1% were taking opioids preoperatively, and the use of opioids was associated with a more negative medical and pain profile. Patient age, tobacco use, illicit drug use, higher pain severity, depression, higher Fibromyalgia Survey…

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By: Judy Mathias
July 12, 2018
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FDA statement on access to opioids for patients with chronic, end-of-life pain

Editor's Note Food & Drug Administration (FDA) commissioner, Scott Gottlieb, MD, on July 9 issued a statement on balancing access to appropriate treatment for patients with chronic and end-of-life pain with the need to stem the misuse and abuse of opioids. As the FDA considers new steps to address the…

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By: Judy Mathias
July 12, 2018
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FDA requires new labeling for fluoroquinolone antibiotics

Editor's Note The Food & Drug Administration announced on July 10 that it was requiring labeling changes for fluoroquinolone antibiotics because they may cause significant decreases in blood sugar and mental health side effects. The labels will add that low blood sugar levels can lead to coma and make the…

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By: Judy Mathias
July 11, 2018
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Study: CMS policy on CLABSI, CAUTI has minimal effect on reimbursement

Editor's Note This study found that the Centers for Medicare & Medicaid Services (CMS) hospital-acquired conditions policy on central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) had minimal financial effects on hospitals because billing codes for CLABSI and CAUTI were rarely used and there was a significant…

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By: Judy Mathias
July 9, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Know Your Hand: Winning the Poker Game of Leadership

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