Performance Improvement

Latest Issue of OR Manager
October 2018
Home Safety/Quality > Quality Improvement > Performance Improvement

Joint Commission seeking comments on ePBM performance measures

Editor's Note The Joint Commission on October 17 announced that it is seeking public comment on three draft electronic Patient Blood Management (ePBM) performance measures: PBM-01 Preoperative Anemia Screening  PBM-03 Preoperative Blood Type Testing and Antibody Screening  PBM-04 Initial Transfusion Threshold. The Joint Commission is looking at options for using…

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By: Judy Mathias
October 17, 2018
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PSH improves outcomes in elderly, children

Editor's Note The Perioperative Surgical Home (PSH) model of care was successful in improving quality of care and outcomes in elderly hip fracture patients and children having cardiac surgery in two studies presented October 14 at the Anesthesiology 2018 annual meeting in San Francisco. One study compared 308 hip fracture…

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By: Judy Mathias
October 15, 2018
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Effect of preop patient-centered surgical wellness program

Editor's Note In this study, a preoperative, patient-centered wellness program significantly reduced hospital acquired infections in surgical patients at an academic medical center. A total of 12,396 surgical patients were given a wellness bundle in a roller bag during preoperative screening. The bundle included chlorhexidine bath solution, immuno-nutrition supplements, an…

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By: Judy Mathias
October 11, 2018
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Joint Commission deletes PI standard for ASCs

Editor's Note The Joint Commission announced October 10 that accredited, deemed-status ambulatory surgery centers (ASCs) will no longer be required to collect data on medical necessity and appropriateness of procedures (PI.01.01.01, EP 21), effective July 1, 2019. The Joint Commission developed the performance improvement (PI) standard to align with the…

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By: Judy Mathias
October 11, 2018
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Effect of anesthesia care team composition on surgical outcomes

Editor's Note In this study, the composition of the anesthesia care team (anesthesiologist plus nurse anesthetist or anesthesiologist assistant) was not associated with any significant differences in mortality, length of stay, or inpatient spending. Of 443,098 Medicare beneficiaries who had inpatient surgery between 2004 and 2011, the adjusted mortality for…

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By: Judy Mathias
October 9, 2018
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Joint Commission: 2019 ORYX updates now available

Editor's Note The Joint Commission on October 3 announced that key updates are now available for its 2019 ORYX performance measurement program reporting requirements. The Joint Commission continues to align its performance measure reporting requirements with the Centers for Medicare & Medicaid Services, which published its 2019 Inpatient Prospective Payment…

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By: Judy Mathias
October 8, 2018
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Early surgery vs physical therapy for meniscal tears

Editor's Note In this multicenter, randomized controlled trial from the Netherlands, physical therapy was noninferior to early arthroscopic partial menisectomy for improving knee function in patients with nonobstructive meniscal tears. In this analysis of 321 (159 surgery, 162 physical therapy) patients, knee function improved by 20.4 points in the physical…

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By: Judy Mathias
October 4, 2018
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Restrictive vs liberal transfusion strategy for cardiac surgery patients

Editor's Note In cardiac surgery patients at moderate-to-high risk for death, a restrictive strategy for red blood cell (RBC) transfusion was equivalent to a liberal strategy, with respect to death from any cause, myocardial infarction, stroke, or renal failure, at 6-months follow-up, this study finds. There also were no significant…

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By: Judy Mathias
October 2, 2018
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Value stream redesign: The cornerstone of excellent patient care

Many healthcare organizations have adopted Lean processes to save money, improve workflow, and reduce waste. But it’s not just process change that drives success. It’s the individuals—especially those on the front lines—who work together to identify problems and solutions. It’s also ongoing efforts to sustain changes once they have been…

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By: Elizabeth Wood
September 20, 2018
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Creating standardized process for training new surgeons in robotic surgery

Editor's Note Automated performance metrics can distinguish surgeon expertise during anastomoses and create an objective, standardized way to train new surgeons, this study finds. Researchers used a data recorder plugged into a robotic surgery system to evaluate expert and novice surgeons’ movements for 70 vesicourethral anastomoses (total of 1,745 stitches)…

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By: Judy Mathias
September 11, 2018
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