Safety/Quality

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February 2019
Home Safety/Quality

ASA updates practice advisory on visual loss linked to spine surgery

Editor's Note The American Society of Anesthesiologists (ASA) has published a new “Practice Advisory for Perioperative Visual Loss Associated with Spine Surgery 2019,” which updates the Practice Advisory published by the ASA in 2012. The purpose of the Advisory is to enhance awareness and reduce the frequency of perioperative visual…

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By: Judy Mathias
January 14, 2019
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Follow pain management standards to ensure survey success

Postoperative pain management has always been a major focus of patient care. However, the opioid crisis is increasing the challenges healthcare leaders face because of the call for a national change in modalities of pain management. Regulatory bodies, specifically, are executing control to confront the opioid epidemic head on, making…

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By: Judith M. Mathias, MA, RN
January 14, 2019
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An undercover hazard: Beware of 'clean' mattresses

A patient is lying on an apparently clean bed or stretcher when blood from a previous patient oozes out of the surface. Clearly, you don’t want to put your patients through that experience. But is your facility doing enough to prevent it? For the second consecutive year, ECRI Institute addresses…

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By: ECRI
January 14, 2019
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Reduced readmissions credited to HRRP overstated

Editor's Note Medicare’s Hospital Readmissions Reduction Program (HRRP), which penalizes readmissions for several targeted conditions, has been credited with lowering readmission rates; however, these reductions now appear to be overstated, this study finds. A concurrent change in electronic transaction standards that increased diagnostic coding allowed hospitals to document a larger…

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By: Judy Mathias
January 10, 2019
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FDA: Class I recall of Medtronic’s Synergy, Stealth Station S7 Cranial Software

Editor's Note The Food & Drug Administration (FDA) on January 8 identified the recall of Medtronic’s Synergy Cranial Software and Stealth Station S7 Cranial Software as Class I, the most serious. The Software is used with the Stealth Station Surgical Navigation System to provide detailed 3D images of a patient’s…

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By: Judy Mathias
January 10, 2019
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Endoscopic vs open vein-graft harvesting for CABG procedures

Editor's Note No significant difference was found between endoscopic and open vein–graft harvesting in the risk of major adverse cardiac events, in this study. This analysis of 1,150 patients in 16 Veterans Affairs cardiac surgery centers found that during a median follow-up of 2.78 years, the primary outcome of a…

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By: Judy Mathias
January 10, 2019
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Joint Commission: New R3 Report goes in-depth on pain assessment, management standards

Editor's Note The Joint Commission announced on January 9 the publication of a new R3 Report to help organizations better understand the new and revised pain assessment and management standards that will be effective July 1, 2019. The R3 Report, which is for behavioral healthcare organizations, nursing care centers, and…

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By: Judy Mathias
January 10, 2019
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Association of AORN’s OR attire policy with SSIs, costs

Editor's Note Implementation of AORN’s 2015 guidelines for OR attire, which also were adopted by the Centers for Medicare and Medicaid Services, has not decreased surgical site infections (SSIs) and has increased healthcare costs, this study finds. For the study, data were collected on general, cardiac, neuro-, orthopaedic, and gynecologic…

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By: Judy Mathias
January 8, 2019
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FDA Pre-Cert Pilot Program to promote more efficient review of digital health innovations

Editor's Note The Food and Drug Administration (FDA) on January 7 issued a statement from Commissioner Scott Gottlieb, MD, on the agency’s new actions under the Digital Health Pre-Certification (Pre-Cert) Pilot Program to promote a more efficient framework for the review of safe and effective digital health innovations. Because digital…

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By: Judy Mathias
January 8, 2019
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Incidence of reoperations after bariatric surgery

Editor's Note Reoperations after bariatric surgery occurred mainly within the first 10 years, and revisional surgeries (ie, conversions, corrections, and reversals) were more common after banding and vertical banded gastroplasty than gastric bypass, this Swedish study finds. In this analysis of 2,010 patients with 26 years of follow-up, first-time revisional…

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By: Judy Mathias
January 7, 2019
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