Risk Management

Latest Issue of OR Manager
July 2019

Editorial

Nearly 40 “awareness” or prevention and education wellness initiatives are listed for the month of May—among them, National Nurses Week, World Hand Hygiene Day, and Mental Health Month. Mental health caught my eye because it was a featured topic at the World Healthcare Congress in Washington, DC, where a panel…

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By: Elizabeth Wood
May 17, 2019
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Vigilance best protects ASCs from workplace violence

Violence is a fact of life in healthcare settings. The Occupational Safety and Health Administration estimates that, on average, healthcare workers are four times as likely to be victimized as those in private industry. Most types of violent incidents involve patients or visitors acting out against staff, accounting for 93%…

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By: Jennifer Lubell
April 22, 2019
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Association of overlapping surgery with outcomes

Editor's Note In this multicenter study, overlapping surgery was not significantly associated with in-hospital mortality or postoperative complication rates, but it was significantly linked to increased surgery time. Researchers from Stanford University, University of Michigan, University of Pennsylvania, and Harvard, analyzed 66,430 procedures, of which 8,224 were overlapping. Overlapping surgery…

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By: Judy Mathias
February 28, 2019
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Policy compliance essential for overlapping surgery safety

Flipping rooms, or running two ORs back to back, is common in many perioperative services departments. Certain rules of thumb can help ensure efficiency and good outcomes, but sometimes those rules either don’t exist or are unclear. Does your facility have guidelines for overlapping surgery, and do your surgical teams…

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By: Elizabeth Wood
December 13, 2018
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Remote video auditing: A path to compliance and safety

Perioperative services leaders seeking to improve safety and efficiency without sacrificing quality may want to turn to remote video auditing (RVA), which is being successfully used in hospital ORs and ambulatory surgery centers (ASCs). “We’ve seen improved patient safety, efficiency, and cleaning processes,” says Sheldon Newman, MD, executive vice chairman…

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By: Cynthia Saver, MS, RN
November 15, 2017
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Peer review inspires high performance from providers

Peer review is a hot topic in the quality arena as many ambulatory surgery centers (ASCs) strive to create meaningful and sustainable evaluation of their providers. “As a surveyor, I can tell you peer review trips everybody up,” says Ann Geier, MS, RN, CNOR, CASC, chief nursing officer of Surgical…

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By: Leslie Flowers
November 15, 2017
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ECRI Institute releases Top 10 Health Technology Hazards for 2018

Editor's Note The ECRI Institute on November 6 released its Top 10 Health Technology Hazards for 2018. The report identifies potential sources of danger involving medical devices and other healthcare technologies to watch for in the coming year. Topping the list is ransomware and other cybersecurity threats, followed by endoscope…

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By: Judy Mathias
November 6, 2017
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Comparison of internal medicine, general surgery residents’ postop risk assessments

Editor's Note Risk assessments of postoperative complications and death in surgically complex patients were not significantly different between internal medicine and general surgery residents in this study. However, both groups overestimated the risks compared with the American College of Surgeons’ National Surgical Quality Improvement Project (ACS NSQIP) risk adjusted model.…

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By: Judy Mathias
October 12, 2017
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ECRI Institute offers free disaster preparedness, recovery resources

Editor's Note In response to the destruction caused by hurricanes Harvey, Irma, and Maria, the ECRI Institute is providing free access to resources, publications, and tools to help guide healthcare facilities affected by natural disasters. The Disaster Preparedness and Recovery Resource Center, which includes links to material from the ECRI…

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By: Judy Mathias
October 11, 2017
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Joint Commission posts sentinel event stats for first half of 2017

Editor's Note The Joint Commission on September 20 posted sentinel event statistics from its database through June 30, 2017. Of the top 10 most frequently reported sentinel events during this time period: Falls topped the list with 49 events. Unintended retention of a foreign object was 3rd with 41 events.…

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By: Judy Mathias
September 27, 2017
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