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June 2019
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DHS releases action guide for healthcare facilities on active shooter incidents

Editor's Note The Department of Homeland Security (DHS) has issued an action guide for active shooter incidents specifically for hospitals and healthcare facilities. The action guide includes potential indicators of an individual who may become an active shooter. It also gives recommendations for staff on what they should do if…

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By: Judy Mathias
May 21, 2019
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How will artificial intelligence impact surgical patient care? Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. Part 1 of this introduction to the series (OR Manager, May 2019, 1, 7-11) defined several different types of…

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By: Cynthia Saver, MS, RN
May 17, 2019
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OR leaders see benefits of briefer NPO period

Though long fasting before a surgical procedure is tied to increased patient risks, the outdated guideline of NPO after midnight continues to be practiced by many healthcare organizations. In 1999, the American Society of Anesthesiologists (ASA) revised their fasting guidelines to clear liquids up to 2 hours before surgery and…

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By: Judith M. Mathias, MA, RN
May 17, 2019
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Editorial

Nearly 40 “awareness” or prevention and education wellness initiatives are listed for the month of May—among them, National Nurses Week, World Hand Hygiene Day, and Mental Health Month. Mental health caught my eye because it was a featured topic at the World Healthcare Congress in Washington, DC, where a panel…

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By: Elizabeth Wood
May 17, 2019
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Good questions lay foundation for powerful leadership pipeline

Success for any new leader hinges on the ability to be both “student” and “teacher” because the role requires learning and mentoring. Striking a balance between these roles can be especially daunting for new perioperative services leaders, which is why Bruce Tulgan was invited to speak at the 2019 OR…

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By: Elizabeth Wood
May 17, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

A Blessing or a Curse? Social Media and Online Collaboration Best Practices and Compliance

After this session you’ll be able to: Identify the social media trends in the healthcare space today., Define best practices to follow to remain compliant with HIPAA and privacy laws., Explain laws and regulations to keep in mind when online., Why this is important: While healthcare providers are often reluctant…

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Artificial intelligence makes surgical 'black box' smarter

Perioperative services departments have been slow to adopt the black boxes used in the aviation industry, partly because it can take a large team of experts hours to analyze data collected by the box. However, the team behind a surgical black box is using artificial intelligence (AI) to significantly cut…

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By: Cynthia Saver, MS, RN
May 17, 2019
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Top 10 Patient Safety Concerns for 2019

Healthcare is striving to become an industry of high-reliability organizations, and part of being a high-reliability industry means staying vigilant and identifying problems proactively. ECRI Institute’s annual Top 10 list helps organizations identify looming patient safety challenges and offers suggestions and resources for addressing them. ECRI Institute relied on event…

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By: ECRI
May 17, 2019
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Correlation of intraop staff movements, door openings with SSI risk

Editor's Note This multicenter study demonstrated an association between intraoperative staff movements and door openings with risk of surgical site infections (SSIs). In this study of 13 ORs in 10 hospitals, performing cardiac and total hip or knee replacement surgery, door openings were assessed by sensors fixed on the doors.…

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By: Judy Mathias
May 15, 2019
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Nurse staffing linked to healthcare-associated infections

Editor's Note In this study from the Columbia University School of Nursing, New York City, researchers found that nurse understaffing is associated with increased risk of healthcare-associated infections (HAIs). Using data from 2007 to 2012 in a large urban hospital system: 15% of patient days had one shift understaffed (defined…

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By: Judy Mathias
May 13, 2019
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CDC: Hepatitis A infections up nearly 300%

Editor's Note In the May 10 Morbidity and Mortality Weekly Report, the Centers for Disease Control and Prevention reported that hepatitis A infections were up 294% in 2016-2018, compared with 2013-2015. The increases are related to outbreaks among homeless people, men who have sex with men, people who use drugs,…

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By: Judy Mathias
May 13, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Be a Bridge Builder: Close the Knowledge Gap of Who You Report To

After this session you’ll be able to: Develop a collaborative relationship with your direct report., Explain how transparency is not just lip service., Provide data to equip your director to make sound decisions for your PACU., Why this is important: Do you ever find yourself thinking: “I wish my OR…

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