Periop Nursing

Latest Issue of OR Manager
September 2019
Home Periop Nursing

Deficiencies in human performance linked to surgical adverse events

Editor's Note In this study, human performance deficiencies were identified in more than half of surgical adverse events, and they were most commonly associated with cognitive errors. Of 5,365 surgical procedures analyzed, adverse events occurred in 188 patients. A total of 106 adverse events (56.4%) were because of human error,…

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By: Judy Mathias
August 6, 2019
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NYT: Experts call for single-use, sterilization or redesign of duodenoscopes, bronchoscopes

Editor's Note Contaminated duodenoscopes have transmitted drug-resistant infections to hundreds of patients, and now some experts are urging the Food & Drug Administration to force manufacturers to develop duodenoscopes that can be properly sterilized or single-use duodenoscopes or take duodenoscopes off the market, the August 6 New York Times Reports.…

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By: Judy Mathias
August 6, 2019
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Association of US News top ranking for gastroenterology, GI surgical procedures with outcomes

Editor's Note Though the annual volume of gastroenterology and gastrointestinal (GI) advanced laparoscopic abdominal surgical procedures is three-fold higher for US News & World Report’s top-ranked hospitals, the volume does not appear to be associated with improved patient outcomes, this study finds. In this analysis of 51,869 abdominal procedures, the…

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By: Judy Mathias
August 1, 2019
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Joint Commission issues new Sentinel Event Alert on managing risks of direct oral anticoagulants

Editor's Note In response to an increase in adverse events related to direct oral anticoagulants (DOACs), the Joint Commission, on July 31, issued a new Sentinel Event Alert on managing DOAC risks. The alert: provides guidance for safe use and management of DOACs stresses understanding the risks, benefits, side effects,…

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By: Judy Mathias
August 1, 2019
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Preop opioid score not linked to adverse outcomes after spine surgery

Editor's Note NarxCare, an opioid-use score based on state prescription databases, is not associated with adverse outcomes or patient satisfaction after elective spine surgery, this study finds. Multivariate logistic regression analysis of 346 elective spine surgery patients did not find statistically significant odds of experiencing adverse events, readmissions, reoperations, and…

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By: Judy Mathias
July 31, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Stigma and Substance Use Disorder: What We Say Matters

After this session you'll be able to: Discuss the impact of substance use disorder (SUD) and the severity of the opioid epidemic in the United States. Provide education to improve knowledge and attitudes towards SUD as a treatable, chronic, medical condition. Identify strategies to overcome the barriers presented by stigma…

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Hospitals with more BSNs linked to better cardiac arrest outcomes

Editor's Note Hospitals with more nurses who have bachelor of science in nursing (BSN) degrees have better outcomes for patients after cardiac arrest, this study finds. For the study, researchers from the University of Pennsylvania, Philadelphia, analyzed data from the American Heart Association’s Get with the Guidelines-Resuscitation registry, RN4CAST-US hospital…

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By: Judy Mathias
July 29, 2019
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Effectiveness of ACS bleeding control training in laypeople

Editor's Note Laypeople currently trained in the American College of Surgeons (ACS) Bleeding Control Basic (B-Con) course may not be prepared to care for bleeding individuals because the principles for correct Combat Application Tourniquet (CAT) application taught in the course are not fully translatable to other commercial or improvised tourniquets,…

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By: Judy Mathias
July 25, 2019
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Legal and ethical questions temper excitement about AI--Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. In this issue we continue our examination of the challenges related to AI, which began in last month’s issue…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Research raises concerns about lubricants used in endoscopes

Current endoscope reprocessing methods are not consistently effective in eliminating organic soil or microbes, and the off-label use of products for defoaming, lubrication, and bleeding control may be contributing to reprocessing failures. Though endoscope manufacturers have cautioned against the use of these products, endoscopists still commonly use them, and many…

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By: Judith M. Mathias, MA, RN
July 24, 2019
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Editorial

Our series on artificial intelligence (AI) concludes in this issue with part 2 of an in-depth look at legal and ethical questions (cover story) as well as advice for evaluating new AI products (“Consider all angles when choosing AI technology,” p 13). But insights about future trends like AI do…

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By: Elizabeth Wood
July 24, 2019
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