Safety/Quality

Latest Issue of OR Manager
October 2018
Home Safety/Quality

Healthcare systems form own generic drug company

Editor's Note Seven healthcare systems representing 500 US hospitals are forming Civica Rx, a nonprofit company that will manufacturer generic drugs, in an effort to combat shortages and skyrocketing prices, cnbc.com reported September 6. The company, which is teaming up Intermountain Healthcare, the Mayo Clinic, HCA Healthcare, and four others,…

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By: Judy Mathias
September 7, 2018
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Joint Commission refines scoring on HLD, sterilization

Editor's Note The Joint Commission on September 5 announced it has refined its scoring for high-level disinfection (HLD) and sterilization to focus on process steps that post the highest risk to patients if they fail. The new scoring revisions apply to: soiled instruments enzymatic solution transportation of instruments instruments in…

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By: Judy Mathias
September 6, 2018
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First year analysis of CJR bundled payment model

Editor's Note This interim analysis of the first year of the Comprehensive Care for Joint Replacement (CJR) bundled payment model finds that CJR may reduce institutional postacute care. Of  75 metropolitan statistical areas (MSAs) that were assigned the bundled payment model and 121 control MSAs, the mean percentage of discharges…

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By: Judy Mathias
September 4, 2018
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Massachusetts nurse staffing regs did not reduce patient mortality, complications

Editor's Note The Massachusetts state regulation of 1:1 or 2:1 patient-to-nurse staffing ratios in intensive care units (ICUs), as guided by patient complexity scores, was not linked with either increased nurse staffing or changes in patient outcomes, this study finds. Examining records from 246 medical centers nationwide, and comparing patient…

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By: Judy Mathias
September 4, 2018
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Effectiveness of pulsed-xenon light after terminal cleaning in the OR

Editor's Note When used after terminal cleaning, the pulsed-xenon ultraviolet light (PX-UV) significantly reduced contamination on high-touch surfaces in the OR, this study finds. This analysis included 1,464 surface samples from 136 ORs at 23 hospitals after terminal cleaning and again after PX-UV disinfection. Results showed the average colony forming…

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By: Judy Mathias
August 31, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Can you Hear Me Breathe? Investigating Suspect Obstructive Sleep Apnea in the Pre-operative Population

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FDA proposes not including three bulk drug substances that outsourcing facilities may use in compounding

Editor's Note The Food and Drug Administration (FDA) on August 28 issued a notice proposing not to include three bulk FDA-approved drug substances−bumetanide, nicardipine hydrochloride, and vasopressin−on the list that outsourcing facilities may use in compounding drug products. The FDA is seeking public comment before finalizing their decision. Comments must…

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By: Judy Mathias
August 29, 2018
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Improving patient flow from ED with electronic nursing handoff process

Editor's Note Use of a standardized, electronic nursing handoff communication process resulted in decreased boarding time in the emergency department (ED) and increased bed flow efficiency, this study finds. Before implementation of the electronic nursing handoff process, the average ready to move-to-occupied time was 83.6 minutes. This decreased to 49…

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By: Judy Mathias
August 29, 2018
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Joint Commission issues advisory on nonpharmacologic, nonopioid treatments for pain

Editor's Note The Joint Commission on August 28 issued a new Quick Safety advisory that focuses on evidenced-based, nonopioid and nonpharmacologic treatment options for pain. Among the options: behavioral/cognitive/psychological interventions (ie, meditation, progressive muscle relaxation) environmental-based interventions (ie, lighting alterations, music therapy) physical interventions (ie, acupuncture, massage therapy, spinal manipulation)…

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By: Judy Mathias
August 29, 2018
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Effect of Foley catheter placement by medical students on postop CAUTIs

Editor's Note Patients who have Foley catheters placed by medical students in the OR are at increased risk of postoperative catheter-associated urinary tract infections (CAUTIs), this study finds. This analysis included 891 patients who had Foley catheters placed in the OR by surgical residents (547 patients), OR nurses (227), or…

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By: Judy Mathias
August 28, 2018
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FlexDex signs distribution deal with Olympus

Editor's Note A deal has been signed by Olympus with FlexDex Surgical to distribute its wrist-controlled Needle Driver robotic device, the August 23 Medical Design & Outsourcing reports. The FlexDex Needle Driver, which is used to streamline suturing in areas of the abdomen that are hard to access, will complement…

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By: Judy Mathias
August 28, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Adopting an ERAS Program: Making Strides Towards Better Outcomes

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