Safety/Quality

Latest Issue of OR Manager
January 2019
Home Safety/Quality

Joint Commission announces new case study on wrong-site surgery safety

Editor's Note The Joint Commission on December 5 announced a new, free educational tool that details wrong-site surgery safety strategies--identifying risk factors and possible ways to improve processes. The case study lays out a situation in which a patient is scheduled for transbronchial biopsies of the right upper lung but…

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By: Judy Mathias
December 6, 2018
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Most hospitals will get increased Medicare payments in 2019

Editor's Note The Centers for Medicare & Medicaid Services announced December 3 that more than 1,550 hospitals will share $1.9 billion in bonus payments under the Hospital Value-Based Purchasing Program for FY 2019. Though it is a slight decline from FY 2018, average performance scores were higher at 38.1%, compared…

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By: Judy Mathias
December 6, 2018
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Study: Fish oil does not increase bleeding risk in cardiac surgery patients

Editor's Note Fish oil did not increase perioperative bleeding and reduced the number of blood transfusions in cardiac surgery patients, in this study. A total of 1,516 cardiac surgery patients were randomized to perioperative fish oil or placebo−from 2 to 5 days before surgery until discharge. The primary outcome of…

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By: Judy Mathias
December 6, 2018
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FDA updates draft guidance on safety of US blood supply

Editor's Note The Food & Drug Administration on December 4 updated a draft guidance that promotes the development and adoption of innovations to ensure continued safety of the US blood supply. The draft guidance entitled, “Bacterial risk control strategies for blood collection establishments and transfusion services to enhance the safety…

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By: Judy Mathias
December 6, 2018
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Effect of changes in hospital nursing resources on patient safety, quality care

Editor's Note Improvements in hospital work environments, nurse staffing, and educational levels of nurses coincided with improvements in patient safety and quality of care in this panel study from Linda Aiken, PhD, RN, and colleagues at the University of Pennsylvania School of Nursing, Philadelphia. Using data from a panel of…

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By: Judy Mathias
December 4, 2018
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FDA: Class I recall of Synaptive Medical’s BrightMatter Guide with SurfaceTrace Registration

Editor's Note The Food and Drug Administration (FDA) on November 30 identified the recall by Synaptive Medical of its BrightMatter Guide with SurfaceTrace Registration, which is used to perform neurosurgical procedures, as Class I, the most serious. The recall was initiated because of a software defect that could potentially result…

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By: Judy Mathias
December 4, 2018
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Statewide comparison of postop opioid prescribing in teaching vs nonteaching hospitals

Editor's Note In this study, patients in teaching hospitals in Michigan received significantly larger postoperative opioid prescriptions and had higher rates of high-risk prescribing compared with nonteaching hospitals in the state. The amount of opioid prescribed in initial opioid prescriptions varied 4.7-fold across hospitals, from 130 to 616 oral morphine…

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By: Judy Mathias
December 4, 2018
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Trauma of hospitalization associated with greater risk of readmission, ED visit

Editor's Note Poor sleep, missed meals, less physical activity, and stress during hospitalization was associated with a greater risk of 30-day readmissions and emergency department (ED) visits, in this Canadian study. In this analysis of 207 patients, 75 (36.2%) reported sleep disturbance, 162 (78.3%) reported mobility disturbance, 114 (55.1%) reported…

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By: Judy Mathias
December 3, 2018
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Joint Commission revises anticoagulant NPSG

Editor's Note The Joint Commission on November 28 announced that it had revised National Patient Safety Goal (NPSG) 03.05.01. The revisions apply to organizations that initiate, manage, and adjust dosage for anticoagulant medications, including accredited ambulatory health care (in medical centers only), hospitals, critical access hospitals, and nursing care centers.…

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By: Judy Mathias
December 3, 2018
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SSI incidence, risk factors in total knees

Editor's Note In this 9-year prospective cohort study from Spain, researchers identified surgical site infection (SSI) risk factors that showed the necessity  to strictly comply with wound decontamination and patient preparation protocols, reduce the length of surgical time, and identify patients requiring comprehensive monitoring. This analysis of 1,969 patients who…

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By: Judy Mathias
November 29, 2018
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