Evidence-based Practice

Latest Issue of OR Manager
June 2020
Home Periop Nursing > Perioperative Practice > Evidence-based Practice

NIH begins clinical trial of hydroxychloroquine, azithromycin for COVID-19 treatment

Editor's Note The National Institutes of Health (NIH) on May 14 announced that it is enrolling adults with mild to moderate COVID-19 in a study of treatment with hydroxychloroquine and azithromycin. The Phase 2b trial is enrolling around 2,000 adults across the US. Participants must have confirmed infection with SARS-CoV-2…

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By: Judy Mathias
May 19, 2020
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Anticoagulants may improve survival in hospitalized COVID-19 patients

Editor's Note Treating hospitalized COVID-19 patients with anticoagulants may improve their chances of survival, this study from Mount Sinai finds. Of 2,773 COVID-19 patients analyzed, 786 received a full-treatment dose of anticoagulants, which was a higher dose than that typically given for clot prevention; it is one usually given to…

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By: Judy Mathias
May 11, 2020
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Use of AI to expedite search for COVID-19 treatments, vaccines

Editor's Note Researchers at Northwestern University in Chicago are using artificial intelligence (AI) to expedite the search for COVID-19 treatments and vaccines by shortening the expert review period. The AI tool prioritizes research that has the most potential to produce real solutions and ignores research that is unlikely to yield…

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By: Judy Mathias
May 5, 2020
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Structure of coronavirus clue to high infection rate

Editor's Note Cornell University researchers studying the structure of the SARS-CoV-2 virus have found a unique feature that could explain why it is so transmissible between humans. The researchers identified a structural loop in the SARS-CoV-2 spike protein (ie, the area of the virus that facilitates entry into a cell)…

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By: Judy Mathias
May 5, 2020
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Persistence of coronaviruses on inanimate surfaces, inactivation with biocidal agents

Editor's Note A new novel coronavirus (SARS-CoV-2), which causes the disease COVID-19, is the third highly pathogenic human coronavirus that has emerged in the last two decades. The other two are the Severe Acute Respiratory Syndrome (SARS) and Middle East Respirtory Syndrome (MERS) coronaviruses. This analysis of 22 studies finds…

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By: Judy Mathias
March 17, 2020
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Overcoming common obstacles to implementing a perioperative surgical home

Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…

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By: OR Manager
March 16, 2020
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Establishing and leveraging data analytics for ERAS

Virginia Commonwealth University Health System (VCU Health) in Richmond is a Magnet facility, and as such we continually examine innovative ideas to improve the quality, safety, and care of our patients. Evidence has linked Enhanced Recovery After Surgery (ERAS) with better outcomes, and ERAS has become a focal point at…

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By: OR Manager
March 16, 2020
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Using project management principles to hardwire ERAS protocols

Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…

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By: OR Manager
February 21, 2020
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Association between ERAS and postop complications after total hips and knees

Editor's Note Increased adherence to an Enhanced Recovery After Surgery (ERAS) protocol after total hip arthroplasty (THA) and total knee arthroplasty (TKA) was associated with a decrease in postoperative complications in this study from Spain. However, only a few interventions were linked to decreased complications In this analysis of 6,146…

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By: Judy Mathias
February 13, 2020
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Develop standard work for successful ERAS implementation

At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that emphasizes “…maximize[ing] customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources,” according to the Lean Enterprise Institute.1 Several…

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By: OR Manager
January 13, 2020
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