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November 2025

Change PAT protocols to improve patient throughput

Preadmission testing (PAT) has been shown to reduce day-of-surgery delays and unnecessary testing that drive up the cost of healthcare. But it takes time and patience to put an effective PAT process in place. Sharon Ulep, MBB, CMCA, CPHQ, principal for healthcare strategy and consulting, Plante Moran, Southfield, Michigan, who…

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By: Cynthia Saver, MS, RN
July 23, 2018
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PAT makeover enhances patient and provider satisfaction

Not all hospitals have a preadmission testing (PAT) process, and even when they do, communication breakdowns and inefficiencies can make the process ineffective. Recognizing that the PAT process at Yale New Haven Hospital, New Haven, Connecticut, needed a makeover was the first step in launching an improvement project that led…

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By: Cynthia Saver, MS, RN
July 23, 2018
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Sharps inflicting increased wounds in the OR

Injuries from needlesticks—whether from disposable syringes, IV catheters, or blood collection devices—accounted for more than 30% of all sharps injuries in 2016, especially among nurses. Injuries from skin injections alone accounted for 25.7% of all sharps injuries that year. And, for the first time, injuries occurring from suturing during procedures…

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By: OR Manager
July 23, 2018
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Vigilance and diligence needed to enforce hand hygiene

Hungarian obstetrician Ingvar Semmelweis recognized the link between hand washing and childbirth fever in the mid-1800s. During his lifetime, this theory was often ignored or mocked, but ultimately hand washing was scientifically proven to prevent infections. Almost two centuries later, hand washing still reigns as the queen of infection prevention,…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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Can technology boost hand hygiene compliance?

Janet Haas, PhD, RN, CIC, FSHEA, FAPIC, hopes technology will one day achieve what no other strategy has thus far: Increase the rate of hand hygiene compliance. Haas, president of the Association of Professionals in Infection Control and Epidemiology, says it will need to be a small device that does…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 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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Editorial

By 2024, the demand for registered nurses in the US will top 1 million, according to the Bureau of Labor Statistics (BLS), with the largest gaps seen in hospitals in the South and West. The RN workforce is expected to grow 16%, from 2.7 million in 2014 to 3.2 million…

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By: Elizabeth Wood
June 20, 2018
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