Perioperative Practice

Latest Issue of OR Manager
August 2019
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New calculator predicts outcomes for metabolic, bariatric surgery patients

Editor's Note A new surgical risk/benefit calculator that can predict a bariatric/metabolic patient’s possibility of postoperative remission at 1 year for five weight-related comorbidities will soon be released by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP), the American College of Surgeons (ACS) announced on August 20.…

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By: Judy Mathias
August 21, 2019
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Effect of hospital move to all private rooms on healthcare-associated infections

Editor's Note The move to a new hospital with all single-patient rooms was associated with an immediate and durable reduction in the rates of nosocomial vancomycin-resistant Enterococcus (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) colonization as well as VRE infections, but not in  the rates of nosocomial Clostridioides difficile (CDI) or…

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By: Judy Mathias
August 19, 2019
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Experts give hospital rating systems low grades

Editor's Note In this study, experts graded the four major publicly reported hospital quality rating systems on their strengths and weaknesses−most received a C and the highest was a B. The grades were: US News & World Report−B Medicare & Medicaid Services’ Star Ratings−C Leapfrog−C- Healthgrades−D+. The researchers found that…

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By: Judy Mathias
August 15, 2019
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Statewide initiative reduces postop opioid prescribing without increase in patient pain

Editor's Note Implementation of opioid prescribing guidelines in the state of Michigan reduced opioid prescription size without negatively affecting patient satisfaction or pain, this study finds. In 1 year, teams at 43 hospitals across the state reduced by nearly one-third the number of opioid pills they prescribed to patients (having…

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By: Judy Mathias
August 15, 2019
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AI, machine learning help unlock health data at Michigan Medicine

Editor's Note The University of Michigan’s health system has 34 artificial intelligence (AI) and machine learning research projects underway, 28 of which have principal investigators, the August 12 Health Data Management reports. Projects include analyzing electronic health records (EHRs), ECG monitor data, and analytics to predict acute hemodynamic instability and…

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By: Judy Mathias
August 14, 2019
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Postop delirium linked to long-term decline in elderly

Editor's Note In this study, postoperative delirium in patients averaging 80 years old was linked to long-term detrimental outcomes after major orthopedic surgical procedures. Of 130 patients analyzed, 34 developed postoperative in-hospital delirium. Patients with postoperative delirium had a greater decline in activities of daily living at 2 to 3…

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By: Judy Mathias
August 13, 2019
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Effect of BMI on SSI risk

Editor's Note This study found a trend of increasing risk of surgical site infections (SSIs) for almost all surgery types when body mass index (BMI) increased from normal to morbidly obese. Of 387,919 patients analyzed in the Dutch national surveillance network PREZIES, 1% were underweight, 30% had normal weight, 40%…

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By: Judy Mathias
August 8, 2019
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Study links cancer center affiliation to lower postop mortality

Editor's Note Patients who had complex surgical procedures for cancer at community hospitals that were affiliated with top-ranked cancer hospitals were less likely to die within 90 days after surgery than patients treated at nonaffiliated hospitals, this study finds. Data for more than 14,000 Medicare patients showed 90-day mortality after…

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By: Judy Mathias
August 8, 2019
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Patient factors tied to postop opioid consumption

Editor's Note In this study of opioid-naïve patients having major surgery, researchers found a number of patient characteristics associated with greater opioid use in the first month after surgery. Of 1,181 patients analyzed, the following were significantly associated with increased postoperative opioid consumption: younger age nonwhite race lack of college…

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By: Judy Mathias
August 7, 2019
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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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