Safety/Quality

Latest Issue of OR Manager
June 2019
Home Safety/Quality

AHRQ opens enrollment for hospitals to implement enhanced recovery pathways

Editor's Note The American College of Surgeons on June 6 called for interested hospitals to join a new cohort of the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR). In the program, presented in collaboration with the Johns Hopkins Medicine Armstrong Institute…

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By: Judy Mathias
June 7, 2019
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Opioid epidemic increases number of hearts available for transplant

Editor's Note The opioid epidemic has expanded the pool of overdose-death donors (ODDs) for heart transplantation. Even though ODDs have higher rates of hepatitis C, cardiac allograft quality indices are favorable, and recipient outcomes are similar to those with non-ODD hearts, this study finds. Of 15,904 heart transplant donors analyzed,…

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By: Judy Mathias
June 6, 2019
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AHRQ: ASCs can submit patient safety culture survey data until July 22

Editor's Note The Agency for Healthcare Research and Quality (AHRQ) announced on June 4 that ambulatory surgery centers (ASCs) that have administered AHRQ’s Ambulatory Surgery Center Survey on Patient Safety Culture can submit their data to the database until July 22. ASCs that submit data will receive free individual feedback…

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By: Judy Mathias
June 6, 2019
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Opiate-sparing analgesia after discharge from total hip

Editor's Note Multimodal analgesia with minimal opiates improved pain control and significantly decreased opiate use and opiate-related adverse effects after discharge from elective total hip replacement surgery, finds this study. The 235 patients analyzed received one of three discharge pain regimens: Group A: scheduled-dose multimodal analgesia (ie, acetaminophen, meloxicam, gabapentin)…

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By: Judy Mathias
June 6, 2019
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Joint Commission: New requirement for office-based surgery fluoroscopy services

Editor's Note The Joint Commission announced June 5 that beginning January 1, 2020, accredited office-based surgery practices that provide fluoroscopy services will be required to comply with element of performance (EP) 17 of Environment of Care (EC) standard EC.02.02.01: The practice manages risks related to hazardous materials and waste. This…

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By: Judy Mathias
June 6, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Lights, Camera, Action! An RCA Recast Safety Simulation

After this session you'll be able to: Describe two patient safety tools used to investigate a safety event. Discuss the importance of obtaining different perspectives of a safety event. Analyze a safety event utilizing patient safety tools. Why this is important: Root cause analysis (RCA) is a systematic approach to…

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FDA panel recommends reclassification of surgical staplers to Class II

Editor's Note The Food & Drug Administration’s General and Plastic Surgery Devices Advisory Committee on May 30 recommended that surgical staplers be reclassified from Class I to Class II devices. This would add premarket review and special controls to the devices. The Committee said Class II regulation would offer a…

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By: Judy Mathias
June 4, 2019
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Association of changes to Hospital Readmission Reduction Program with changes in penalties

Editor's Note Stratification of hospitals in Medicare’s Hospital Readmission Reduction Program (HRRP) was associated with a significant shift in hospital penalties for excess readmissions, this study finds. Beginning in FY 2019, Medicare is stratifying hospitals into five peer groups based on the proportions of each hospital’s patient population that is…

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By: Judy Mathias
June 4, 2019
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HHS releases final report on pain management

Editor's Note The Pain Management Best Practices Inter-Agency Task force, a Health and Human Services (HHA) federal advisory committee on May 30 released its final report. The report calls for a balanced, individualized, patient-centered approach to pain management and underscores the need to address stigma, risk assessment, access to care,…

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By: Judy Mathias
June 4, 2019
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Effect of opioid-sparing postop pathway on patient satisfaction, pain control

Editor's Note Patients on an opioid-sparing postoperative pain management pathway reported minimal or no opioid use and high satisfaction and pain control in this study. A total of 190 patients having one of six different procedures participated in the pathway and were advised to use acetaminophen and ibuprofen every 6…

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By: Judy Mathias
June 3, 2019
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FDA: Class I recall of SOLOPATH Balloon Expandable TransFemoral System, Re-Collapsible Balloon Access System

Editor's Note The Food & Drug Administration on May 30 identified the recall by Terumo Medical Corporation (Somerset, New Jersey) of its SOLOPATH Balloon Expandable TransFemoral System and Re-Collapsible Balloon Access System as Class I, the most serious. The recall was initiated because the tip could dislodge from the outer…

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By: Judy Mathias
June 3, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

ASC Safety Begins With Preadmission and Patient Selection

After this session you'll be able to: Define the role of the preadmission department ? what it is and what it is not. Develop criteria for patient selection based on available resources to mitigate your organizational risk. Describe how a solid preadmission and patient selection process can provide an essential…

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