Stress

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June 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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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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Trends, factors linked to physician burnout

Editor's Note Physician burnout has reached a critically high level, fueled by regulatory, compliance, and technology demands, but health system leaders at the Massachusetts General Hospital in Boston are working to address and relieve burnout and bring the joy back to the practice of medicine with centrally and locally designed…

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By: Judy Mathias
April 30, 2019
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Expect the unexpected: How we recovered operations after Hurricane Harvey

Whatever your facility’s disaster management plan, it needs continual refinement to account for the differences between imagined and real scenarios. Hurricane Harvey, which hit Houston hard on Saturday, August 26, 2017, is a case in point. The storm brought more than 60 inches of rain within a couple of days,…

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By: Elizabeth Wood
April 22, 2019
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Vigilance best protects ASCs from workplace violence

Violence is a fact of life in healthcare settings. The Occupational Safety and Health Administration estimates that, on average, healthcare workers are four times as likely to be victimized as those in private industry. Most types of violent incidents involve patients or visitors acting out against staff, accounting for 93%…

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By: Jennifer Lubell
April 22, 2019
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Pregnant women working night shifts have higher risk for miscarriage

Editor's Note Pregnant women who work two night shifts per week have a heightened risk for miscarriage after pregnancy week 8, this Danish study finds. Of 22,744 pregnant women analyzed, 2 or more night shifts the previous week increased the risk of miscarriage after pregnancy week 8 (hazard ratio, 1.32).…

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By: Judy Mathias
March 27, 2019
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'Coming clean' in the SPD requires collaboration and competency--Part 1

Contaminated surgical instruments made ECRI Institute’s 2019 annual top 10 list of health technology hazards, coming in at number five: “Mishandling flexible endoscopes after disinfection can lead to patient infections.” Number two on the list in 2018 was “Endoscope reprocessing failures continue to expose patients to infection risk.” It’s not…

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By: Cynthia Saver, MS, RN
March 15, 2019
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Prioritizing patient safety unites and empowers OR team--Part 2

Several never events at The Medical Center of Aurora (TMCA) in Aurora, Colorado, over a 1-year period prompted leaders there to launch patient safety first (PSF) initiatives. Part 1 of this series discussed how these initiatives were identified and implemented, and the importance of evidence-based communication tools (OR Manager, March…

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By: Iris Llewellyn
March 15, 2019
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Failure to debrief after anesthesia critical events tied to communication breakdowns

Editor's Note Failure to debrief after critical events is common in anesthesia trainees and teams, and communication breakdowns are associated with the failure to debrief, this study finds. Over a 1-year period at a large academic medical center, anesthesiology residents and some attending anesthesiologists were audited and/or interviewed about the…

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By: Judy Mathias
March 7, 2019
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Incidence of workplace bullying among nurse managers

Editor's Note Nurse managers are recipients of workplace bullying, coming from executive nurse leaders, clinical nurses, and their management peers, this study finds. In this survey of nurse managers across the US, 35% said they had been a target of workplace bullying with severity levels ranging from occasional to severe.…

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By: Judy Mathias
March 5, 2019
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