Safety/Quality

Latest Issue of OR Manager
August 2018
Home Safety/Quality

Prevalence of unused opioids after joint, spine surgery

Editor's Note In this study, many patients reported unused opioids after joint and spine surgery, infrequent use of nonopioid analgesics, and lack of knowledge on safe opioid storage and disposal. Of 140 patients analyzed, 35% were taking preoperative opioids. Among those who stopped taking opioids after surgery, possession of unused…

Read More

By: Judy Mathias
June 27, 2018
Share

Factors predicting postop opioid used in spine surgery patients

Editor's Note Patients having surgery for degenerative spondylolisthesis (DS) are less likely to be dependent on opioids after surgery than before, this study finds. Of 10,708 DS patients who had surgery between 2000 and 2012, 14.85% were opioid dependent within 12 months before surgery, and 9.90% were opioid dependent 3…

Read More

By: Judy Mathias
June 27, 2018
Share

Joint Commission releases prepublication revisions for pain assessment and management standards

Editor's Note The Joint Commission on June 25 released new and revised pain assessment and management standards that will be applicable to accredited critical access hospitals and ambulatory care and office-based surgery organizations, effective January 1, 2019. The standards are designed to strengthen an organization’s practices for pain assessment, treatment,…

Read More

By: Judy Mathias
June 27, 2018
Share

US News & World Report announces Best Children’s Hospitals

Editor's Note The US News & World Report on June 26 announced the 2018-2019 Best Children’s Hospitals rankings. Ten hospitals earned a place on the Honor Roll, which awards hospitals that deliver exceptionally high quality care across multiple specialties: Boston Children’s Hospital Cincinnati Children’s Hospital Medical Center Children’s Hospital of…

Read More

By: Judy Mathias
June 26, 2018
Share

Diabetes linked to adverse outcomes after surgery

Editor's Note Patients with diabetes are more likely to have adverse outcomes after surgery, and greater risks are associated with increasing HbA1c levels, this study finds. Of 7,565 patients analyzed, 30% had diabetes and 37% had prediabetes. After adjustments, diabetes was linked to increased: 6-month mortality (9% in patients with…

Read More

By: Judy Mathias
June 25, 2018
Share

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

Event Session
Share

Joint Commission issues Quick Safety on identifying human trafficking victims

Editor's Note The Joint Commission on June 20 announced “Quick Safety 42: Identifying human trafficking victims.” The Quick Safety focuses on: recognizing signs of human trafficking knowing when to involve law enforcement becoming familiar with community resources that can help the victims.

Read More

By: Judy Mathias
June 25, 2018
Share

QI program results in reduced readmissions, LOS for malnourished surgical patients

Editor's Note Malnourished hospitalized surgical and medical patients who participated in a nutrition quality improvement (QI) program had improved readmission rates and length of stay (LOS), but surgical patients had a significantly greater reduction in readmissions than medical patients, in this study. Of 1,269 patients analyzed, 288 were surgical patients…

Read More

By: Judy Mathias
June 22, 2018
Share

Robot-assisted vs open cystectomy

Editor's Note Robot-assisted and open cystectomies are equally effective in treating bladder cancer, this 7-year study finds. Conducted at 17 institutions, 350 patients with bladder cancer were randomized to the open (175 patients) or the robot-assisted (175 patients) surgical approach. The researchers found lower blood loss and transfusion rates and…

Read More

By: Judy Mathias
June 22, 2018
Share

Joint Commission seeking comments on anticoagulation NPSG

Editor's Note The Joint Commission announced on June 20 that it is seeking comments on proposed changes to the National Patient Safety Goal (NPSG) 03.05.01 on reducing harm from anticoagulant therapy. Revised requirements, which will address the use of new direct oral anticoagulant medications, include: drug selection dosing and monitoring…

Read More

By: Judy Mathias
June 22, 2018
Share

Sharps inflicting increased wounds in the OR

Injuries from needlesticks—whether from disposable syringes, IV catheters, or blood collection devices—accounted for more than 30% of all sharps injuries in 2016, especially among nurses. Injuries from skin injections alone accounted for 25.7% of all sharps injuries that year. And, for the first time, injuries occurring from suturing during procedures…

Read More

By: OR Manager
June 21, 2018
Share

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

Event Session
Share
Live chat by BoldChat