Safety/Quality

Latest Issue of OR Manager
October 2018
Home Safety/Quality

FDA: Class I recall of Arkon Anesthesia Delivery System

Editor's Note The Food & Drug Administration on August 10 identified the recall of Spacelabs Healthcare’s (Snoqualmie, Washington) Arkon Anesthesia Delivery System as Class I, the most serious. The recall was issued because of the system going into a “failed state,” during which the mechanical ventilation function stops working. This…

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By: Judy Mathias
August 13, 2018
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Academic medical centers trailing on cost, quality measures

Editor's Note A new study by consultancy firm Navigant found that academic medical centers are trailing community hospitals across cost and quality measures. Among the findings: Cost per case was 5.8% higher at medical centers, equating to $3.1 million added annual operating expense per center. Cost per case disparity between high…

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By: Judy Mathias
August 10, 2018
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More than 3 million healthcare records breached in Q2

Editor's Note New data released in the Protenus Breach Barometer shows  more than 3.14 million patient records were compromised in 142 breach incidents reported to Health and Human Services or the media from April to June 2018, the August 8 Healthcare Informatics reports. This number is up from 1.13 million…

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By: Judy Mathias
August 10, 2018
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Effect of sedation levels on postop delirium in elderly hip fracture patients

Editor's Note Limiting the level of sedation in elderly hip fracture patients with low comorbid states (Charlson comorbidity index [CCI] of 0) reduced postoperative delirium in this study. Of 200 elderly patients analyzed (100 in lighter sedation and 100 in heavier sedation levels), there was no statistically significant difference in…

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By: Judy Mathias
August 9, 2018
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Joint Commission: Four organizations recognized as Pioneers in Quality Expert Contributors

Editor's Note The Joint Commission on August 8 recognized four healthcare organizations as 2018 Pioneers in Quality Expert Contributors for their efforts to advance the evolution and utilization of electronic clinical quality measures (eCQMs). The organizations are: BJC Healthcare, St Louis MedStar St Mary’s Hospital, Leonardtown, Maryland Texas Health Resources,…

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By: Judy Mathias
August 9, 2018
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Hospitals using bundled payments report reduced SNF use and improved care integration

Editor's Note Hospitals participating in Medicare’s Comprehensive Care for Joint Replacement model or its Bundled Payments for Care Improvement initiative for lower extremity joint replacement episodes report reducing skilled nursing facility (SNF) use and improving care coordination, in this survey. Interviews of executives or administrators in each of 22 hospitals…

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By: Judy Mathias
August 7, 2018
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Study: Lean methods improve first case on-time starts

Editor's Note In this study, implementation of Lean interventions to redesign the workflow in the preoperative holding area of a large urban medical center was linked to significantly improved rates of elective first case on-time starts. Data from 23,891 surgical procedures performed over 415 days were examined−86 days before, 35…

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By: Judy Mathias
August 6, 2018
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Cesarean section ERAS pathway reduces recovery time, improves outcomes

Editor's Note A new enhanced recovery after surgery (ERAS) pathway has been developed and implemented at the University of Alabama at Birmingham to enhance recovery after cesarean delivery. Updated guidelines for the ERAS pathway include: Intake of water and clear sports drinks before surgery to keep mother hydrated. Walking after…

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By: Judy Mathias
August 3, 2018
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FDA issues warning on azithromycin

Editor's Note The Food and Drug Administration (FDA) on August 3 issued a warning for azithromycin, saying the antibiotic should not be given long-term to prevent an inflammatory lung condition in patients with cancers of the blood or lymph nodes who undergo a donor stem cell transplant. A clinical trial…

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By: Judy Mathias
August 3, 2018
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Study assesses cleaning of different surface types in the OR

Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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By: Judy Mathias
August 2, 2018
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