Safety/Quality

Latest Issue of OR Manager
August 2018
Home Safety/Quality

Effective interventions for postop opioid prescribing

Editor's Note Interventions at the physician or organizational level (eg, workflow changes) were found to be better tools for creating change in postoperative opioid prescribing than interventions at the patient level (eg, patient education), in this review. This analysis of eight studies published after 2000 that included 2,272 patients found…

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By: Judy Mathias
August 17, 2018
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CDC: Drug overdose mortality reaches new high

Editor's Note Preliminary data, reported August 15, by the Centers for Disease Control and Prevention show that drug overdose mortality in the US hit record high levels last year, increasing to more than 72,000 deaths. The increase in mortality was driven mainly by fatalities involving fentanyl and other synthetic opioids.…

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By: Judy Mathias
August 17, 2018
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Johns Hopkins panel develops opioid prescribing guidelines for 20 surgical procedures

Editor's Note Led by Martin A. Makary, MD, MPH, a Johns Hopkins panel of experts developed the nation’s first set of opioid prescribing guidelines for 20 common surgical procedures in 8 surgical specialties. The guidelines are based on the premise that opioid prescribing should be based on the surgical procedure…

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By: Judy Mathias
August 15, 2018
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US News & World Report releases 2018-2019 Best Hospitals rankings

Editor's Note The US News & World Report on August 14 released its 2018-2019 Best Hospitals rankings, which compared more than 4,500 hospitals and medical centers across 25 specialties. For the third consecutive year, the Mayo Clinic (Rochester, Minnesota campus) topped the Best Hospitals Honor Roll, followed by the Cleveland…

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By: Judy Mathias
August 15, 2018
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CDC: Naloxone use by emergency medical services up 75% in 4 years

Editor's Note Naloxone administration by emergency medical services increased 75.1% between 2012 and 2016, mirroring a 79.7% increase in fatal opioid overdoes during the same time period, according to the August 10 Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control and Prevention (CDC). Young adults made…

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

Luncheon and Presentation: Patient Positioning Safety: What Happens When Things Go Wrong?

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FDA: Class I recall of Arkon Anesthesia Delivery System

Editor's Note The Food & Drug Administration on August 10 identified the recall of Spacelabs Healthcare’s (Snoqualmie, Washington) Arkon Anesthesia Delivery System as Class I, the most serious. The recall was issued because of the system going into a “failed state,” during which the mechanical ventilation function stops working. This…

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By: Judy Mathias
August 13, 2018
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Academic medical centers trailing on cost, quality measures

Editor's Note A new study by consultancy firm Navigant found that academic medical centers are trailing community hospitals across cost and quality measures. Among the findings: Cost per case was 5.8% higher at medical centers, equating to $3.1 million added annual operating expense per center. Cost per case disparity between high…

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By: Judy Mathias
August 10, 2018
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More than 3 million healthcare records breached in Q2

Editor's Note New data released in the Protenus Breach Barometer shows  more than 3.14 million patient records were compromised in 142 breach incidents reported to Health and Human Services or the media from April to June 2018, the August 8 Healthcare Informatics reports. This number is up from 1.13 million…

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By: Judy Mathias
August 10, 2018
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Effect of sedation levels on postop delirium in elderly hip fracture patients

Editor's Note Limiting the level of sedation in elderly hip fracture patients with low comorbid states (Charlson comorbidity index [CCI] of 0) reduced postoperative delirium in this study. Of 200 elderly patients analyzed (100 in lighter sedation and 100 in heavier sedation levels), there was no statistically significant difference in…

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By: Judy Mathias
August 9, 2018
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Joint Commission: Four organizations recognized as Pioneers in Quality Expert Contributors

Editor's Note The Joint Commission on August 8 recognized four healthcare organizations as 2018 Pioneers in Quality Expert Contributors for their efforts to advance the evolution and utilization of electronic clinical quality measures (eCQMs). The organizations are: BJC Healthcare, St Louis MedStar St Mary’s Hospital, Leonardtown, Maryland Texas Health Resources,…

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

Fishing for Good Catches: Drive Culture Change & Reduce Wrong Site Surgery Cases

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