Safety/Quality

Latest Issue of OR Manager
January 2019
Home Safety/Quality

Room utilization rises with dynamic block scheduling

Inefficiencies in surgical case scheduling can lead to large revenue losses. When leaders at Providence Sacred Heart Medical Center (SHMC) in Spokane, Washington, realized poor room utilization was the cause of more than $1 million in annual overtime costs, they knew that better planning was needed. “For every 60 minutes…

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By: Cynthia Saver, MS, RN
November 14, 2018
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Research backs changes to AORN's Guideline for Sterilization

AORN’s updated Guideline for Sterilization is based on a recent review of evidence in peer-reviewed journals and regulations from 2012 to 2017. In addition to guidance for sterilizing reusable medical devices to be used in perioperative and procedural settings, the updated guideline points to findings that substantiate current practices, and…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
November 14, 2018
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Top 10 health technology hazards for 2019 named

The devices and systems we use when diagnosing and treating patients are invaluable to patient care—but they are not perfect. Patients and staff can be harmed if design flaws or system faults aren’t identified and rectified, equipment isn’t adequately maintained or prepared for use, or proper procedures aren’t followed. Preventing…

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By: ECRI
November 14, 2018
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HHS updates physical activity guidelines for Americans

Editor's Note The Department of Health and Human Services (HHS) published a summary of its new Physical Activity Guidelines for Americans, online November 12 in the Journal of the American Medical Association. The updated guidelines provide information on types and amounts of physical activity that provide substantial health benefits. For…

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By: Judy Mathias
November 13, 2018
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93% of eligible clinicians received MIPS payment under QPP last year

Editor's Note New data from the Centers for Medicare & Medicaid Services (CMS) shows that 93% of eligible clinicians who participated in the Merit-Based Incentive Payment System (MIPS) under the Quality Payment Program (QPP) received positive payment adjustments for their performance last year, the November 9 EHR Intelligence reports. Only…

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By: Judy Mathias
November 13, 2018
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Endoscopic vs open vein-graft harvesting for CABG

Editor's Note In patients having coronary artery bypass grafting (CABG) surgery, no significant difference was found in the risk of major adverse cardiac events between open and endoscopic vein-graft harvesting procedures, this study finds. In this analysis of 1,150 patients at 16 Veterans Affairs centers over a median follow-up of…

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By: Judy Mathias
November 13, 2018
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US smoking rates at record low

Editor's Note Cigarette smoking rates in the US have dropped to the lowest level ever recorded, according to the November 9 Morbidity and Mortality Weekly Report. The smoking rate for adult smokers fell from 15.5% in 2016 to 14% in 2017, a rate 67% lower than it was in 1965.…

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By: Judy Mathias
November 13, 2018
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Perioperative Nurse Week is November 11 to 17

Editor's Note Every year, Perioperative Nurse Week focuses attention on the work of more than 160,000 nurses who advocate for surgical patients. During the week, perioperative nurses are honored by colleagues and communities to highlight the ways in which nurses are working to improve patient safety−before, during, and after surgery−in…

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By: Judy Mathias
November 12, 2018
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Nurses scramble to save patients, themselves from California fire

Editor's Note At 7:30 am, Thursday November 8, With the Camp Fire raging through Paradise, California, staff at Adventist Health Feather River Hospital in Paradise were ordered to evacuate patients and flee themselves, the November 11 nbcnews.com reports. After helping load patients into every vehicle they could find, surgical nurses…

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By: Judy Mathias
November 12, 2018
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Success in efforts to prevent HAPUs may depend on data sources

Editor's Note Transitioning from administrative data to chart-based surveillance review to measure hospital-acquired pressure ulcers (HAPUs) and accounting for HAPU severity could improve the validity of measures for assessing the clinical and financial impact of value-based purchasing interventions, this study finds. Assessing HAPU incidence, severity, and trends using administrative data…

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By: Judy Mathias
November 8, 2018
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