Evidence-based Practice

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October 2019
Home Periop Nursing > Perioperative Practice > Evidence-based Practice

Military-civilian partnership creates first fully integrated trauma system

Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…

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By: Judy Mathias
May 24, 2018
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Effect of ambient OR temperature on patient temperature

Editor's Note Ambient intraoperative OR temperature had a negligible effect on core temperature when patients were warmed with forced air in this study. The effect was larger when patients were passively insulated, but the magnitude remained small. A total of 292 adult patients were randomized to ambient temperatures 19º, 21º,…

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By: Judy Mathias
May 11, 2018
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First US study on nurses’ evidence-based practice competencies finds major deficits

Editor's Note The results of this study indicate that US nurses do not believe they are meeting evidence-based practice competencies. In this survey of 2,344 nurses from 19 hospitals or healthcare systems, the nurses overall reported they were not yet competent in meeting any of the 24 evidence-based practice competencies.…

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By: Judy Mathias
May 4, 2018
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Patient preference for surgery, antibiotics to treat appendicitis

Editor's Note In this survey, most respondents chose surgical rather than nonsurgical treatment for acute appendicitis. Of 1,728 respondents, 85.8% chose laparoscopic appendectomy, 4.9% chose open appendectomy, and 9.4% chose antibiotics alone as treatments for themselves. For their child, 79.4% chose laparoscopic appendectomy, 6.1% chose open appendectomy, and 14.5% chose…

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By: Judy Mathias
January 16, 2018
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Effectiveness of intraop teaching course for surgeons

Editor's Note In this study, a half-day faculty development course designed to equip surgical educators with frameworks shown to promote learning in the OR helped faculty members deliver improved instruction as perceived by surgical residents. A total of 19 faculty members completed the course. Associate professors demonstrated improved briefing, debriefing,…

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By: Judy Mathias
August 28, 2017
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Five-year outcomes of on-pump vs off-pump CABG

Editor's Note In this multicenter study, on-pump coronary artery bypass grafting (CABG) led to significantly higher rates of 5-year survival and event-free survival than off-pump CABG. From 2002 to 2007, a total of 2,203 patients at 18 medical centers were randomly assigned to undergo either on-pump (1,099 patients) or off-…

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By: Judy Mathias
August 17, 2017
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Predicting transfusions in total joint patients

Editor's Note Using patient-specific preoperative variables, a validated logistic regression model predicted transfusions in total hip and knee patients in this study. The model identified preoperative hemoglobin, total hip arthroplasty, and females 65 years of age and older as predictors of perioperative transfusions. The model also may help identify those…

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By: Judy Mathias
June 5, 2017
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Evidence-based practice supports adopting ERAS protocols

As part of the shift to value-based care, a logical step for healthcare organizations is to adopt enhanced recovery after surgery (ERAS) protocols. The literature supporting the use of ERAS is growing, with many studies demonstrating that it leads to shorter length of stay (LOS) and fewer complications. Results of…

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By: Elizabeth Wood
April 21, 2017
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Study: Tonsillectomies not beneficial long term

Editor's Note Children having tonsillectomies to improve the number of sore throats and throat infections, associated clinic visits, and days of school missed had improved outcomes in the first year after surgery compared with children not having surgery, but these benefits did not persist over time, this study finds. For…

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By: Judy Mathias
January 25, 2017
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Effect of ERAS, fast track protocols on postop infections

Editor's Note Enhanced recovery after surgery (ERAS) and fast track surgery protocols were associated with a significant reduction in postoperative lung, urinary tract, and surgical site infections, compared with conventional protocols in this study. ERAS and fast track protocols also were linked to a significant decrease in hospital length of…

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By: Judy Mathias
January 4, 2017
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