Safety/Quality

Latest Issue of OR Manager
January 2019
Home Safety/Quality

CMS: New online tool compares cost differences for outpatient procedures

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on November 27 launched a new online tool that compares Medicare payments and co-payments for certain outpatient surgical procedures performed in hospitals and ambulatory surgery centers. The “Procedure Price Lookup” tool will help Medicare patients consider potential cost differences when…

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By: Judy Mathias
November 29, 2018
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Incidence of sharps injuries among surgical staff

Editor's Note This meta-analysis found that a surgeon will have a sharps injury in about 1 in 10 surgical procedures. Of 45 studies analyzed, the incidence rate was 13.2 sharps injuries per 100 time-units. Per 100 person-years, the rate was 88.2 for self-reported injuries, 40.0 for perforations, and 5.8 for administrative…

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By: Judy Mathias
November 29, 2018
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HHS issues draft strategy to reduce burdens linked to EHRs, health IT

Editor's Note The Department of Health and Human Services (HHS) on November 28 issued a draft strategy to reduce administrative and regulatory burdens caused by electronic health records (EHRs) and health information technology (health IT). The draft “Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health…

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By: Judy Mathias
November 29, 2018
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Study: 'Meaningful use' of EHRs linked to shorter LOS

Editor's Note Hospitals that successfully attested to "meaningful use" of electronic health records (EHRs) experienced a shorter patient length of stay (LOS) in this study. This analysis of patient data from California categorized hospitals into one of three categories−partial adoption of EHRs, full adoption of EHRs, and meaningful assimilation of…

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By: Judy Mathias
November 28, 2018
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FDA: Class I recall of Zimmer Biomet spinal fusion, long bone stimulators

Editor's Note The Food & Drug Administration (FDA) on November 26 identified the recall by Zimmer Biomet (Warsaw, Indiana) of its Osteogen Implantable Bone Growth Stimulator, SpF PLUS-Mini Implantable Fusion Stimulator, and SpF-XL Implantable Spinal Fusion Stimulator as Class I, the most serious. The recall was initiated because of the…

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By: Judy Mathias
November 28, 2018
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FDA plans big changes to 510(k) pathway

Editor's Note The Food and Drug Administration (FDA) on November 26 announced that it plans to modernize its 510(k) approval pathway by pushing device manufacturers to rely on predicate devices that are not older than 10 years. Under the existing pathway, manufacturers can pursue expedited approval for devices that are…

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By: Judy Mathias
November 27, 2018
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FDA: Fresenius Kabi recalls sodium chloride injection

Editor's Note The Food and Drug Administration (FDA) on November 20 announced the nationwide recall by Fresenius Kabi USA (Lake Zurich, Illinois) of 163 lots of sodium chloride injection, USP, 0.9%, 10 mL and 20 mL vials. The recall was initiated because the product insert incorrectly states that the vial…

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By: Judy Mathias
November 26, 2018
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Munro Scale assessment helps reduce HAPI rates

Each year, more than 2.5 million adults in the US develop pressure ulcers, according to the Agency for Healthcare Research and Quality (AHRQ). These lesions bring pain, risk for serious infection, and increased healthcare utilization. Data on the costs of treatment vary, but some estimates range between $37,800 and $70,000…

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By: Judith M. Mathias, MA, RN
November 14, 2018
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Block schedule best practices: Calculate, allocate, and regulate

A common strategy for managing OR utilization is block scheduling: Assigning surgical time to individual surgeons or surgeon groups based on their volume. But what sounds like a simple process is often complicated by the potential for dissatisfaction and reduced utilization. Yet done effectively, block scheduling can significantly boost the…

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By: Cynthia Saver, MS, RN
November 14, 2018
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New safety program helps hospitals adopt ERAS

Enhanced recovery after surgery (ERAS) led the list of newer patient care models in use at hospitals that employ respondents to the 2018 OR Manager Salary/Career Survey. A total of 42% of hospital-based OR leaders said ERAS had been or would soon be implemented in their facilities, down slightly from…

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By: Elizabeth Wood
November 14, 2018
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