Safety

Latest Issue of OR Manager
April 2019

Effect of PPE doffing errors on healthcare worker self-contamination

Editor's Note The risk of hand contamination was higher when healthcare workers (HCWs) removed their gloves before their gowns during personal protective equipment (PPE) doffing, and HCWs who made multiple PPE doffing errors were more likely to have contaminated clothes after patient interactions, this study finds. In this analysis of…

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By: Judy Mathias
March 20, 2019
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Editorial

Attendees at the annual OR Manager Conference have enjoyed the opportunity to ask experienced OR leaders questions about difficult managerial and clinical issues. The popularity of these “Ask Me Anything” sessions reflects the hunger for knowledge about how things are handled in ORs around the country, and they will be…

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By: Elizabeth Wood
March 15, 2019
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'Coming clean' in the SPD requires collaboration and competency--Part 1

Contaminated surgical instruments made ECRI Institute’s 2019 annual top 10 list of health technology hazards, coming in at number five: “Mishandling flexible endoscopes after disinfection can lead to patient infections.” Number two on the list in 2018 was “Endoscope reprocessing failures continue to expose patients to infection risk.” It’s not…

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By: Cynthia Saver, MS, RN
March 15, 2019
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Prioritizing patient safety unites and empowers OR team--Part 2

Several never events at The Medical Center of Aurora (TMCA) in Aurora, Colorado, over a 1-year period prompted leaders there to launch patient safety first (PSF) initiatives. Part 1 of this series discussed how these initiatives were identified and implemented, and the importance of evidence-based communication tools (OR Manager, March…

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By: Iris Llewellyn
March 15, 2019
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Protective garments get makeover in new cleaning protocol

Surgical site infections are multifactorial, and perioperative leaders often struggle with how to reduce or eliminate them. In 2013, after an unexplained increase in surgical site infections (SSIs) among patients undergoing total hip arthroplasty at our facility, we began to investigate the cause. A fairly robust ERAS (enhanced recovery after…

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By: Rhonda L. Anders
March 15, 2019
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Bacterial contamination of white coats, surgical scrubs

Editor's Note Provider attire is a potential source of pathogenic bacterial transmission in healthcare settings, this review study finds. A total of 22 articles were included in this analysis, which found that provider attire was commonly colonized by multidrug-resistant organisms (MDROs), with white coats laundered less frequently than scrubs. The…

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By: Judy Mathias
March 11, 2019
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Mortality rates lower in areas with more primary care physicians

Editor's Note Communities in the US with more primary care physicians had lower mortality rates than those with fewer physicians, this study finds. Results showed a: 51.5 day increase in life expectancy for every 10 additional primary care physicians per 100,000 people 19.2 day increase in life expectancy for every…

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By: Judy Mathias
February 21, 2019
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Joint Commission seeking comments on proposed EP for office-based surgery practices using fluoroscopy

Editor's Note The Joint Commission on February 20 announced that it is seeking comments on a proposed element of performance (EP) for office-based surgery practices that provide fluoroscopy services. The new requirement−Environment of Care (EC) standard EC.02.02.01−addresses the monitoring of radiation exposure badges. The deadline for comments is March 29.

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By: Judy Mathias
February 21, 2019
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Joint Commission revises Sentinel Event Alert on diagnostic radiation

Editor's Note The Joint Commission on February 13 announced the revision of its Sentinel Event Alert on diagnostic radiation, which was updated to also address risks associated with fluoroscopy. The original Alert, “Issue 47: Radiation risks of diagnostic imaging and fluoroscopy was published in August 2011.

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By: Judy Mathias
February 14, 2019
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Joint Commission announces new Speak Up campaign on infection prevention

Editor's Note The Joint Commission on February 6 announced its new Speak Up campaign that focuses on ways to prevent infection. The Joint Commission offers free educational resources that include: an infographic poster/flyer an animated video a guide with recommendations on how healthcare organizations can use and provide the materials…

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By: Judy Mathias
February 12, 2019
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