Pain

Latest Issue of OR Manager
February 2021

Joint Commission approves four new EPs for office-based surgery

Editor's Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for Medication Management Standard MM.04.01.01, which will become effective July 1, address the following: Having a written policy that identifies specific medication…

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By: Judy Mathias
January 14, 2021
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Patient-preference playlists improve pre- and postop experiences

Streaming music apps and access to music through smartphones and similar devices make it easy to provide many different genres of music and modalities that can ease surgical patients’ fears. The use of music in both pre- and postoperative settings has been extensively researched, but less is known about how…

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By: Judith M. Mathias, MA, RN
November 17, 2020
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What does it take to become an ERAS hospital?

Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…

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By: Paula Spencer, MSHA, PMP, CPHIMS
August 21, 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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Surgeons reduce opioid prescriptions using new multipronged strategy

Editor's Note A system-wide, multipronged pain management and opioid reduction program significantly reduced postoperative opioid discharge prescriptions written for more than 5 days, this study finds. Surgeon education, monitoring, and incentives lead to a shift from longer-term to shorter-term prescriptions for patients after surgery, reducing postoperative opioid prescriptions of more…

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By: Judy Mathias
March 4, 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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Study: Circadian rhythm involved in healing from surgery

Editor's Note The effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) in managing pain, healing, and recovery after bone fracture depends on when you take them, this study from McGill University finds. The researchers found that NSAIDs are most effective in promoting postoperative healing when taken during the active phase of the…

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By: Judy Mathias
January 22, 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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Automated software app reduces perioperative controlled substance discrepancies

Editor's Note In this study, a software app that tracks perioperative controlled substance use and is integrated into the electronic health and pharmacy records and database systems was associated with a decrease in management errors. This analysis includes data on missing controlled substance medications, controlled substance kits, and witness return…

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By: Judy Mathias
November 21, 2019
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Postop opioid prescribing, use drop after state imposed regulations

Editor's Note A state-mandated policy restricting opioid prescriptions in Vermont greatly reduced opioid prescribing and use by surgical patients at the University of Vermont Medical Center without affecting patient satisfaction with their postoperative pain management, finds this study presented October 29 at the American College of Surgeons Clinical Congress 2019…

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By: Judy Mathias
October 31, 2019
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