Safety/Quality

Latest Issue of OR Manager
April 2019
Home Safety/Quality

Improving hand hygiene compliance among anesthesia providers in the OR

Editor's Note Educating anesthesia providers on the World Health Organization’s five indications for hand hygiene, increasing access to hand hygiene products in the OR, and monitoring  hand hygiene among anesthesia providers can improve hand hygiene compliance, this study finds. Hand hygiene was observed in three phases: Preimplementation, postimplementation, and 60…

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By: Judy Mathias
March 25, 2019
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FDA issues Safety Communication on cybersecurity vulnerabilities in Medtronic cardiac devices

Editor's Note The Food & Drug Administration on March 21 issued a Safety Communication on cybersecurity vulnerabilities identified in wireless telemetry technology used for communication between Medtronic’s implantable cardiac devices, clinic programmers, and home monitors. Medtronic (Dublin, Ireland) is working on updates to address the vulnerabilities and recommends that healthcare…

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By: Judy Mathias
March 25, 2019
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Effect of care bundle on emergency laparotomy outcomes

Editor's Note Hospitals should consider adopting a care bundle approach to improve outcomes for emergency laparotomy patients, this study finds. In this analysis of 14,809 patients in 28 hospitals in the UK, reduction in unadjusted mortality (from 9.8% to 8.3%) and length of stay (from 20.1 days to 18.9 days)…

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By: Judy Mathias
March 21, 2019
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Joint Commission: eCQM Proven Practices must be submitted by April 5

Editor's Note The Joint Commission on March 20 announced that time is running out for organizations to submit applications for the 2019 Pioneers in Quality Proven Practices Collection. Applications must be submitted online by April 5. Among topics of interest: Demonstrating improvements in clinical performance or outcomes using electronic clinical…

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By: Judy Mathias
March 21, 2019
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Inhaled anesthetics vs total IV anesthesia for CABG surgery

Editor's Note In this study, having elective coronary artery bypass grafting (CABG) surgery under inhaled (ie, desflurane, isoflurane, or sevoflurane) anesthesia did not result in significantly fewer deaths than total intravenous (IV) anesthesia, though inhaled agents have cardioprotective effects. A total of 5,400 patients at 36 centers in 13 countries…

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By: Judy Mathias
March 21, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Making Enhanced Recovery the Norm, Not the Exception

After this session you'll be able to: Understand how a value-based LEAN process can positively impact the introduction of an enhanced recovery program. Develop strategies to implement use of enhanced recovery protocols. Explain the ways in which enhanced recovery is measured for effectiveness. Why this is important: Enhanced Recovery After…

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FDA issues warning letters to two breast implant manufacturers

Editor's Note The Food & Drug Administration (FDA) on March 19 issued warning letters to two breast implant manufacturers (Mentor Worldwide LLC of Irvine, California, and Sientra, Inc of Santa Barbara, California) for failing to comply with post-approval study requirements. All manufacturers of approved silicone gel-filled implants are required to…

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By: Judy Mathias
March 21, 2019
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Cleveland Clinic launches new artificial intelligence center

Editor's Note The Cleveland Clinic has launched a new Center for Clinical Artificial Intelligence, which will focus on applying machine learning to healthcare diagnostics, predictive analytics, and treatment planning, the March 13 Health IT Analytics reports. As part of the Cleveland Clinic Enterprise Analytics division, the new center will analyze…

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By: Judy Mathias
March 20, 2019
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Effect of PPE doffing errors on healthcare worker self-contamination

Editor's Note The risk of hand contamination was higher when healthcare workers (HCWs) removed their gloves before their gowns during personal protective equipment (PPE) doffing, and HCWs who made multiple PPE doffing errors were more likely to have contaminated clothes after patient interactions, this study finds. In this analysis of…

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By: Judy Mathias
March 20, 2019
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Study: TAVR equal to or better than surgery

Editor's Note This study comparing transcatheter aortic valve replacement (TAVR) with standard open-heart surgery found no difference in stroke or death from any cause at 2 years follow-up. The findings were presented March 17 at the American College of Cardiology’s Annual Scientific Session in New Orleans. A total of 1,468…

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By: Judy Mathias
March 19, 2019
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FDA: Class I recall of Cook Medical’s Transseptal Needle

Editor's Note The Food and Drug Administration on March 18 identified the recall by Cook Medical Inc (Bloomington, Indiana) of one lot of its Transseptal Needles as Class I, the most serious. The recall was initiated because of a manufacturing error that resulted in some needle tips missing the back…

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By: Judy Mathias
March 19, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Pre-Conference Workshop: Volume Versus Value: ASCs Transition to Value-Based Care

After this session you'll be able to: Discuss the elements of value-based care/value-based purchasing. Review techniques for how to engage physicians, your team, and your patients in the ASC. Explain potential changes to be made in the Quality Assessment Performance Improvement (QAPI) program to address value-based care as it relates…

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