Safety/Quality

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June 2018
Home Safety/Quality

Military-civilian partnership creates first fully integrated trauma system

Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…

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By: Judy Mathias
May 24, 2018
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AVATS an option for lung cancer deemed inoperable

Editor's Note Awake video assisted thoracic surgery (AVATS) performed with local anesthesia and sedation allows for resection of lung cancers previously deemed inoperable because of a patient’s poor pulmonary function, finds this study presented May 23 at the American Thoracic Society International Conference in San Diego. For the study, 246…

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By: Judy Mathias
May 24, 2018
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Prevalence of regional anesthesia use in outpatient surgery

Editor's Note Though the overall frequency of peripheral nerve block use in outpatient surgery is low, regional anesthesia offers significant positive effects for postoperative outcomes and hospital efficiency metrics, this study finds. Of 12,911,056 outpatient surgical procedures in the National Anesthesia Clinical Outcomes Registry, 3,297,372 (25.5%) were amenable to a…

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By: Judy Mathias
May 22, 2018
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FDA: Class I recall of HeartMate 3TM Left Ventricular Assist System

Editor's Note The Food and Drug Administration on May 22 identified the recall by Abbott of all lots of its HeartMate 3TM Left Ventricular Assist System as Class I, the most serious. The recall was issued because of a malfunction in the device’s outflow graft assembly that may cause the…

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By: Judy Mathias
May 22, 2018
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Study: Staying up all night disrupts blood protein levels

Editor's Note Working the night shift and sleeping during the day for just a few days can disrupt levels and time-of-day patterns of more than 100 proteins in the blood (ie, plasma proteomes), this study finds. Six healthy men volunteers in their 20s spent 6 days in the clinical translational…

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By: Judy Mathias
May 22, 2018
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Luncheon and Presentation: Patient Positioning Safety: What Happens When Things Go Wrong?

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ECRI Institute research helped guide FDA report on medical device servicing

Editor's Note The ECRI Institute on May 21 announced that it had provided conclusive research to help guide the Food and Drug Administration’s (FDA) new “FDA Report on the Quality, Safety, and Effectiveness of Servicing of Medical Devices.” The FDA report, which addresses concerns about the quality of service provided…

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By: Judy Mathias
May 22, 2018
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New formulation of bupivacaine does not reduce opioid use after TKA

Editor's Note Contrary to what some studies are suggesting, use of the local anesthetic liposomal bupivacaine as part of a multimodal approach to postoperative pain did not reduce in-hospital opioid use or opioid-related complications after total knee arthroplasty (TKA) in this study. Researchers analyzed data on 88,830 TKAs performed with…

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By: Judy Mathias
May 21, 2018
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FDA: Class I recall of Medtronic’s MindFrame Capture LP revascularization device

Editor's Note The Food and Drug Administration (FDA) on May 18 identified the recall of Medtronic’s MindFrame Capture LP revascularization device as Class I, the most serious. Medtronic is recalling the device because there is a risk of the delivery wire breaking or separating during use. The clot retriever, which…

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By: Judy Mathias
May 21, 2018
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Statewide safety program sharply reduces colorectal SSIs

Editor's Note A Hawaii statewide collaborative for surgical patient safety successfully reduced colorectal surgical site infections (SSIs) and improved patient safety culture, finds this study. Between January 2013 and June 2015, Hawaii’s 15 hospitals implemented the Agency for Healthcare Research and Quality’s (AHRQ’s) Comprehensive Unit-based Safety Program (CUSP) in addition…

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By: Judy Mathias
May 18, 2018
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ECRI Institute: Boston Medical Center wins 2018 Health Devices Achievement Award

Editor's Note The ECRI Institute on May 17 announced that Boston Medical Center had won the 2018 Health Devices Achievement Award for its patient-centric mobile pulmonary care app. The ICOUGH Recovery app guides patients through the hospitals postoperative pulmonary care protocol, which focuses on: Incentive spirometry Coughing and deep breathing…

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By: Judy Mathias
May 18, 2018
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Fishing for Good Catches: Drive Culture Change & Reduce Wrong Site Surgery Cases

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