Patient Safety

Latest Issue of OR Manager
August 2018
Home Safety/Quality > Patient Safety > Patient Safety

QI program results in reduced readmissions, LOS for malnourished surgical patients

Editor's Note Malnourished hospitalized surgical and medical patients who participated in a nutrition quality improvement (QI) program had improved readmission rates and length of stay (LOS), but surgical patients had a significantly greater reduction in readmissions than medical patients, in this study. Of 1,269 patients analyzed, 288 were surgical patients…

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By: Judy Mathias
June 22, 2018
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Robot-assisted vs open cystectomy

Editor's Note Robot-assisted and open cystectomies are equally effective in treating bladder cancer, this 7-year study finds. Conducted at 17 institutions, 350 patients with bladder cancer were randomized to the open (175 patients) or the robot-assisted (175 patients) surgical approach. The researchers found lower blood loss and transfusion rates and…

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By: Judy Mathias
June 22, 2018
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Joint Commission seeking comments on anticoagulation NPSG

Editor's Note The Joint Commission announced on June 20 that it is seeking comments on proposed changes to the National Patient Safety Goal (NPSG) 03.05.01 on reducing harm from anticoagulant therapy. Revised requirements, which will address the use of new direct oral anticoagulant medications, include: drug selection dosing and monitoring…

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By: Judy Mathias
June 22, 2018
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ALS by physicians linked to increased survival

Editor's Note In patients with traumatic out-of-hospital cardiac arrest (OHCA) after traffic collisions, advanced life support (ALS) performed by physicians was associated with increased chance of 1-month survival compared with ALS or basic life support (BLS) performed by emergency medical services (EMS) personnel, this Japanese study finds. Of 4,328 patients…

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By: Judy Mathias
June 20, 2018
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Effectiveness of reprocessing reusable flexible bronchoscopes

Editor's Note In a study on the effectiveness of reprocessing flexible bronchoscopes presented June 14 by Ofstead and Associates at the Association for Professionals in Infection Control’s annual conference in Minneapolis, the majority of bronchoscopes were found to be contaminated and damaged even when cleaned and high-level disinfected according to…

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By: Judy Mathias
June 20, 2018
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FDA letter updates risks of Type III endoleaks with aortic endovascular graft systems

Editor's Note In a June 19 letter to healthcare providers, the Food & Drug Administration (FDA) says it continues to evaluate information from several sources, including manufacturers, on the risks associated with Type III endoleaks with various endovascular graft systems used for treatment of abdominal aortic aneurysms (AAAs) and aorto-iliac…

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By: Judy Mathias
June 20, 2018
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Endoscope fluid, contaminants linger after faulty drying

What does it take to get endoscopes dry? That is the question that prompted a new study on endoscope drying effectiveness by Ofstead & Associates (St Paul, Minnesota). “We asked that question after a study we did 2 years ago found that increasing the automated endoscope reprocessor [AER] drying cycle…

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By: Judith M. Mathias, MA, RN
June 20, 2018
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Managing patient and family disruption in the perioperative setting--Part 2

Disruption in the healthcare setting occurs all too often and can be dangerous for patients and staff like. Part 1 of this series discussed some of the reasons behind the volatile behavior of patients or their families and provided a list of organizations with resources for managing the problem (OR…

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By: Cynthia Saver, MS, RN
June 20, 2018
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Cybersecurity should be high on healthcare priority lists

No homeowners willingly allow a burglar to enter their home and steal their most valuable possessions. Instead, people put locks on doors, install alarm systems, build fences, or keep big dogs. The thieves may still get in, but deterrents like these will reduce the risk of a successful burglary. Ambulatory…

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By: Janet M. Boivin, BSN, BSJ, RN
June 20, 2018
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Perioperative RBC transfusions linked to postop VTE

Editor's Note In this study, perioperative red blood cell (RBC) transfusions were significantly associated with development of new or progressive postoperative venous thromboembolism (VTE) within 30 days of a surgical procedure. Of 750,937 patients included in the analysis, 47,410 (6.3%) received at lest one perioperative RBC transfusion. Of these, 6,309…

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By: Judy Mathias
June 18, 2018
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