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October 2019
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Joint Commission posts new CCC Certification measure implementation guide

Editor's Note The Joint Commission on September 11 announced that it had posted a new version of the Comprehensive Cardiac Center (CCC) Certification program’s standardized measures implementation guide on its website with updated measure specifications. Beginning January 1, 2020, data collection on five new inpatient performance measures will be mandatory…

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By: Judy Mathias
September 12, 2019
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FDA: Metrix Company recalls certain lots of empty flexible IV bags

Editor's Note The Food & Drug Administration on September 10 posted the recall by the Metrix Company of Dubuque, Iowa, of specific lots of its empty IV flexible containers (bags) marketed under the Metrix Secure EVA Dual Chamber and Baxter ExactaMix names. The recall was initiated because of the potential…

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By: Judy Mathias
September 11, 2019
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FDA: Hospira recalls one lot of Bacteriostatic Water for Injection

Editor's Note The Food & Drug Administration on September 6 posted Hospira, Inc’s recall of one lot of Bacteriostatic Water for Injection, USP, 30 mL, multi-dose vials, lot W20308. The recall was initiated because of the potential for a lack of sterility assurance. To date, Hospira has not received any…

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By: Judy Mathias
September 10, 2019
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FDA sets meeting to discuss EO sterilization

Editor's Note The Food & Drug Administration (FDA) announced September 4 that it will hold a Medical Devices Advisory Committee Meeting in November to discuss ethylene oxide (EO) sterilization of medical devices, including methods to reduce EO emissions. The committee also will provide recommendations on reducing infection risks from reprocessed…

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By: Judy Mathias
September 5, 2019
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Joint Commission posts Top 5 most challenging requirements

Editor's Note The Joint Commission on September 4 posted the Top 5 most challenging requirements identified most frequently as “not compliant” during surveys and reviews during the first half of 2019. The Top 5 for hospital accreditation are: LS.02.01.35: The hospital provides and maintains systems for extinguishing fires (91%). EC.02.05.01:…

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By: Judy Mathias
September 5, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

The Road to Zero! Meeting Compliance After TJC Survey Using the SAFER Matrix

After this session you’ll be able to: Explain the SAFER Matrix used by The Joint Commission (TJC)., Discuss how to assess risk using mitigation strategies for compliance to the SAFER Matrix., Identify tools for creating and implementing required corrective action plans., Why this is important: The SAFER Matrix has been…

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Effect of ‘regression to the mean’ on excess readmissions

Editor's Note Strong evidence suggests that most declines in excess readmissions--after implementation of Medicare’s Hospital Readmission Reduction Program (HRRP)--at poorly performing hospitals can be explained by a statistical phenomenon called “regression to the mean [RTM],” this study finds. In RTM, entities farther away from the mean in one period are…

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By: Judy Mathias
September 4, 2019
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FDA recommends transition to duodenoscopes with disposable components

Editor's Note The Food & Drug Administration (FDA) on August 29 issued a News Release recommending that healthcare facilities and manufacturers begin transitioning to duodenoscopes with disposable components to reduce the risk of patient infection. The FDA also announced additional actions they have taken to help ensure the safety of…

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By: Judy Mathias
September 4, 2019
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What surgeons need to know about the skull cap, bouffant debate

Editor's Note The debate over surgical cap attire has grown from a patient-safety issue to a platform for emotionally driven arguments, unflattering logic, and failed leadership by all parties involved, according to this Viewpoint article in JAMA Surgery. The 2014 guidelines from AORN never explicitly endorsed the bouffant hair cover,…

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By: Judy Mathias
August 29, 2019
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Joint Commission announces new Comprehensive Cardiac Center Certification performance measures

Editor's Note The Joint Commission on August 28 announced five new inpatient performance measures for the Comprehensive Cardiac Center Certification program, which will be effective January 1, 2020. Data collection for the measures will be mandatory for currently certified programs and organizations seeking initial certification. In addition to the mandatory…

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By: Judy Mathias
August 29, 2019
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Joint Commission: R3 Report details new standards for perinatal safety

Editor's Note The Joint Commission on August 28 announced the publication of an R3 Report on two new standards designed to improve the quality and safety of perinatal care in accredited hospitals. The standards, which will take effect July 1, 2020, require organizations to examine their processes and procedures for…

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By: Judy Mathias
August 29, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

2019 Update on Sterilization & Disinfection Standards

After this session you’ll be able to: Describe new changes to sterilization standards and guidelines., Discuss high non-compliance areas related to sterilization and disinfection., Identify how these changes can be incorporated into departmental procedures., Why this is important: With the increased complexity in medical devices that comes with advanced research,…

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