Safety/Quality

Latest Issue of OR Manager
June 2018
Home Safety/Quality

Homeless veterans at increased risk of postop readmission

Editor's Note For veterans having surgical procedures performed in the VA healthcare system, homelessness is an important risk factor for unplanned readmission, finds this study. Analyzing 232,373 surgical procedures performed on 199,879 patients, researchers found that 5,068 of the procedures were performed on homeless patients. The rate of readmission within…

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By: Judy Mathias
May 16, 2018
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Working overtime associated with less collaboration between nurses and physicians

Editor's Note In this study, working overtime negatively influenced nurse-nurse and nurse-physician collaboration. Survey data from 24,013 nurses in 957 units from 168 hospitals in the National Database of Nursing Quality Indicators showed that one third of nurses work beyond their scheduled shifts. One hour of overtime was associated with…

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By: Judy Mathias
May 14, 2018
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FDA: Class I recall of Vyaire Medical AirLife Resuscitation Device & Broselow Convenience Kit

Editor's Note The Food and Drug Administration (FDA) on May 11 announced the Class I recall, the most serious, of Vyaire Medical Inc's (Lake Forest, Illinois) AirLife Resuscitation Device & Broselow Convenience Kit. The recall was initiated because of an error in product design that may result in difficulty or…

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By: Judy Mathias
May 14, 2018
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Preop walking test helps predict postop cognitive dysfunction

Editor's Note A simple 6-minute walking test before cardiac surgery helped predict the risk for cognitive issues after surgery, in this study from Japan. A 6-minute walk distance (6MWD) test was performed preoperatively on 181 patients who had nonemergency cardiac surgery. After surgery, 51 patients had postoperative cognitive dysfunction (POCD).…

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By: Judy Mathias
May 14, 2018
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FDA: AuroMedics Pharma recalls two lots of Piperacillin and Tazobactam for Injection

Editor's Note The Food and Drug Administration (FDA) on May 8 announced the recall by AuroMedics Pharma (Windsor, New Jersey) of two lots of Piperacillin and Tazobactam for Injection, USP 3.375 g in a single-dose vial. The vials were found to contain particulate matter after reconstitution that was confirmed to…

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By: Judy Mathias
May 14, 2018
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Effect of ambient OR temperature on patient temperature

Editor's Note Ambient intraoperative OR temperature had a negligible effect on core temperature when patients were warmed with forced air in this study. The effect was larger when patients were passively insulated, but the magnitude remained small. A total of 292 adult patients were randomized to ambient temperatures 19º, 21º,…

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By: Judy Mathias
May 11, 2018
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FDA: Class I recall of Fabius Anesthesia Machines by Dräger Medical

Editor's Note The Food and Drug Administration (FDA) on May 9 announced a Class I recall, the most serious, of Fabius Anesthesia Machines by Dräger Medical. The recall was initiated because of excessive oil that was not removed at the time of production. Excess oil may interfere with the position…

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By: Judy Mathias
May 11, 2018
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Opioid abuse, dependence increases postop readmissions

Editor's Note Opioid abuse or dependence after major surgical procedures was associated with increased readmission rates and healthcare utilization. Of 16,016,842 patients in the National Readmission Database analyzed, 94,903 (0.6%) had diagnoses of opioid abuse or dependence. Comparing patients with and without opioid abuse or dependence, researchers found that patients…

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By: Judy Mathias
May 9, 2018
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FDA sends letter to healthcare providers on neurovascular stents

Editor's Note The Food and Drug Administration (FDA) on May 8 sent a letter to healthcare providers that included recommendations on the use of neurovascular stents for stent-assisted coiling in the treatment of unruptured brain aneurysms. The FDA has received reports associated with these devices that suggest events of peri-procedural…

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By: Judy Mathias
May 9, 2018
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Preventability of early vs late readmissions

Editor's Note Early readmissions (within 7 days of discharge) were more likely to be preventable and amenable to hospital-based interventions, and late readmissions (8 to 30 days after discharge) were less likely to be preventable and more amenable to ambulatory and home-based interventions, this study finds. In this study of…

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By: Judy Mathias
May 9, 2018
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