Safety/Quality

Latest Issue of OR Manager
February 2019
Home Safety/Quality

Joint Commission to begin publicly reporting C-section rates

Editor's Note The Joint Commission announced on December 19 that, effective July 1, 2020, it will begin publicly reporting hospitals with consistently high C-section rates on"Quality Check," using hospital data reported during CY 2018 and 2019. The Joint Commission began requiring accredited hospitals to collect and submit data on the…

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By: Judy Mathias
January 3, 2019
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Cross-contamination of pierced earring holes, nurses’ fingers a potential source of HAIs

Editor's Note Pierced earring holes can be a source of healthcare associated infections (HAIs) via cross-transmission of bacteria from the holes to nurses’ fingers, this study finds. For this analysis, earlobes and fingers of 200 nurses (128 with pierced ears and 72 unpierced) working at a university hospital in Japan…

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By: Judy Mathias
January 3, 2019
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Joint Commission launches webpage covering four high-risk areas

Editor's Note The Joint Commission on December 19 launched a webpage that covers four high-risk areas that surveyors evaluate. The “4-1-1 on Survey Enhancements” interactive page provides resources for: Sterile medication compounding Suicide prevention High-level disinfection and sterilization Hemodialysis. The Joint Commission enhanced its evaluation of these high risk areas…

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By: Judy Mathias
January 2, 2019
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FDA: Fluoroquinolone antibiotics can increase risk of aortic ruptures

Editor's Note The Food and Drug Administration (FDA) on December 20 announced that fluoroquinolone antibiotics can increase the occurrence of ruptures or tears in the aorta. The FDA recommends that healthcare professionals: Avoid prescribing fluoroquinolone antibiotics to patients who have or are at risk for having an aortic aneurysm, and…

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By: Judy Mathias
January 2, 2019
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Policy compliance essential for overlapping surgery safety

Flipping rooms, or running two ORs back to back, is common in many perioperative services departments. Certain rules of thumb can help ensure efficiency and good outcomes, but sometimes those rules either don’t exist or are unclear. Does your facility have guidelines for overlapping surgery, and do your surgical teams…

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By: Elizabeth Wood
December 13, 2018
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How should you manage patients using marijuana?

What is the current state of marijuana research? Russell: Marijuana research is unlike any other drug research. Researchers have to jump through a lot of hoops with the federal government to study it. As a result, people are using marijuana before there is enough science to prove safety and efficacy.…

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By: Catherine Spader, RN
December 13, 2018
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New structure puts SPD staff on firmer footing

Perioperative leaders, including those in the sterile processing department (SPD), need to know when to make sweeping—not just incremental—changes to improve workflow and optimize the talents of their staff. Sometimes gains in productivity and staff satisfaction depend not only on identifying process improvements but also on placing staff in areas…

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By: Cynthia Saver, MS, RN
December 13, 2018
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Orthopedic experts urge caution when starting total knee service lines

Total joint replacements contribute hefty profits to hospitals and healthcare systems. Once the Centers for Medicare & Medicaid Services (CMS) starts reimbursing surgery centers—as is done for hospital outpatient surgery departments (HOPDs)—the competition between hospitals, HOPDs, and ambulatory surgery centers (ASCs) will intensify. “Total joints are the hot ticket in…

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By: Janet M. Boivin, BSN, BSJ, RN
December 13, 2018
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SHEA issues new guidance on infection control in anesthesiology

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) on December 11 published a new expert guidance on “Infection prevention in the operating room anesthesia work area.” Key recommendations of the guidance to improve infection prevention include: Increased hand hygiene performed, at a minimum, before aseptic tasks, after removing…

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By: Judy Mathias
December 12, 2018
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Ultrarestrictive opioid prescription strategy results in fewer pills dispensed, no increase in pain

Editor's Note In this study, an ultrarestrictive opioid prescribing strategy was associated with a reduction in the number of pills dispensed without changes in postoperative pain, complications, or increases in prescription refill requests. In this case-control 2-year analysis of 1,231 women having surgery for gynecologic cancer, those having ambulatory or…

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By: Judy Mathias
December 11, 2018
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