Safety/Quality

Latest Issue of OR Manager
October 2018
Home Safety/Quality

Munro Scale research supports streamlining risk levels

The Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients© (Munro Scale) has made great strides in the past year. The tool, which assesses patients’ risk levels at each phase of surgery (preoperative, intraoperative, and postoperative), is available from AORN. Cassendra Munro, MSN, RN, CNOR, developed the Munro Scale and…

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By: Judith M. Mathias, MA, RN
August 21, 2018
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Top 10 Patient Safety Concerns for 2018

As healthcare strives to become an industry of high-reliability organizations, identifying problems proactively is key. ECRI Institute’s annual Top 10 Patient Safety Concerns for Healthcare Organizations list highlights looming patient safety challenges and offers resources for addressing them. In selecting this year’s list, ECRI Institute relied on data regarding events…

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By: ECRI
August 21, 2018
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Validate and verify medical devices to ensure safety

Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
August 21, 2018
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Blood management program reduces transfusions, improves outcomes for orthopedic patients

Editor's Note A blood management program at Johns Hopkins using a hemoglobin transfusion threshold of 7 g/dl in orthopedic surgical patients reduced blood use by 32.5% and resulted in similar or improved outcomes. Improved outcomes were primarily in patients 65 years of age or older. For this study, researchers evaluated…

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By: Judy Mathias
August 20, 2018
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FDA issues Safety Alert for Temporary Total Artificial Heart Companion 2 Driver System by SynCardia Systems

Editor's Note The Food & Drug Administration (FDA) on August 17 issued a Safety Alert for SynCardia Systems’ (Tucson, Arizona) Temporary Total Artificial Heart Companion 2 Driver System. Final results from a post-approval study indicate higher mortality and stroke rates for patients initially supported with the C2 Driver System compared…

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By: Judy Mathias
August 20, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Dirty Surgical Instruments: What the Data Is Telling Us

Event Session
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Effective interventions for postop opioid prescribing

Editor's Note Interventions at the physician or organizational level (eg, workflow changes) were found to be better tools for creating change in postoperative opioid prescribing than interventions at the patient level (eg, patient education), in this review. This analysis of eight studies published after 2000 that included 2,272 patients found…

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By: Judy Mathias
August 17, 2018
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CDC: Drug overdose mortality reaches new high

Editor's Note Preliminary data, reported August 15, by the Centers for Disease Control and Prevention show that drug overdose mortality in the US hit record high levels last year, increasing to more than 72,000 deaths. The increase in mortality was driven mainly by fatalities involving fentanyl and other synthetic opioids.…

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By: Judy Mathias
August 17, 2018
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Johns Hopkins panel develops opioid prescribing guidelines for 20 surgical procedures

Editor's Note Led by Martin A. Makary, MD, MPH, a Johns Hopkins panel of experts developed the nation’s first set of opioid prescribing guidelines for 20 common surgical procedures in 8 surgical specialties. The guidelines are based on the premise that opioid prescribing should be based on the surgical procedure…

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By: Judy Mathias
August 15, 2018
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US News & World Report releases 2018-2019 Best Hospitals rankings

Editor's Note The US News & World Report on August 14 released its 2018-2019 Best Hospitals rankings, which compared more than 4,500 hospitals and medical centers across 25 specialties. For the third consecutive year, the Mayo Clinic (Rochester, Minnesota campus) topped the Best Hospitals Honor Roll, followed by the Cleveland…

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By: Judy Mathias
August 15, 2018
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CDC: Naloxone use by emergency medical services up 75% in 4 years

Editor's Note Naloxone administration by emergency medical services increased 75.1% between 2012 and 2016, mirroring a 79.7% increase in fatal opioid overdoes during the same time period, according to the August 10 Morbidity and Mortality Weekly Report (MMWR) from the Centers for Disease Control and Prevention (CDC). Young adults made…

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By: Judy Mathias
August 13, 2018
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