Safety/Quality

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July 2019
Home Safety/Quality

Improving OR efficiency with machine learning prediction of case-time duration

Editor's Note In this study, researchers developed service- and surgeon-specific statistical models using linear regression and machine learning to predict case-time duration at a large academic medical center. Results showed: The machine-learning algorithm had the highest predictive capability. The surgeon-specific was superior to the service-specific model, with higher accuracies and…

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By: Judy Mathias
July 22, 2019
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FDA: Class I recall of Alaris Infusion Sets

Editor's Note The Food & Drug Administration (FDA) on July 18 identified the recall by Becton Dickinson of its Alaris Infusion Sets for the Alaris Pump Model 8100 as Class I, the most serious. The recall was initiated because of the potential for tube collapse that may cause unintended or…

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By: Judy Mathias
July 22, 2019
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Effect of incentive spirometer patient reminder after CABG

Editor's Note An incentive spirometer reminder after coronary artery bypass grafting (CABG) improved patient adherence and, in turn, improved the atelectasis severity score and multiple subsequent clinical outcomes, this study finds. In this study of 212 patients who had CABG surgery, 145 were randomized by hourly reminder SpiroTimer “bell on”…

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By: Judy Mathias
July 18, 2019
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FDA: Class I recall of Neonatal ConchaSmart Breathing Circuit

Editor's Note The Food & Drug Administration (FDA) on July 17 identified the recall by Teleflex of its Neonatal ConchaSmart Breathing Circuit with Dual Heated Limb and ConchaSmart Column as Class I, the most serious. The recall was initiated because of complaints of cracks in the swivel wye adaptors, which…

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By: Judy Mathias
July 18, 2019
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Duration, type of surgical prophylaxis linked to adverse events

Editor's Note The risk of adverse events increases with each additional day of surgical antimicrobial prophylaxis, and extended duration does not lead to additional surgical site infection (SSI) reductions, finds this study. In this study of 79,058 patients having surgical procedures in the VA healthcare system, increasing the duration of…

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By: Judy Mathias
July 18, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

What’s Shocking the PACU? Providing Safe Patient Care for Electroconvulsive Therapy

After this session you’ll be able to: 1.     Discuss new modalities in the care of patients requiring electroconvulsive therapy (ECT). 2.     Describe practices for managing ECT patient flow for your department. 3.     Explain how to merge profitability, staffing patterns, and other details for procedural care of unique patient populations.   Why this…

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CDC: Drug overdose mortality drops for the first time in 20 years

Editor's Note The US drug overdose mortality rate dropped 5.1% to 68,557 deaths last year, compared with 72,224 in 2017, the Centers for Disease Control & Prevention (CDC) reported on July 17. It’s the first time overdose mortality has declined since 1999. The CDC noted that the death counts are…

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By: Judy Mathias
July 18, 2019
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Hospital network participation not linked with improved outcomes, lower costs

Editor's Note Hospital network participation was not associated with improvements in surgical outcomes or Medicare expenditures, compared with hospitals not in a network, this study finds. In this analysis of nearly 2 million Medicare beneficiaries having general, vascular, cardiac, or orthopedic surgery between 2007 and 2014 at network (1,868) or…

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By: Judy Mathias
July 16, 2019
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FDA: Class I recall of Hamilton–G5 Ventilators

Editor's Note The Food & Drug Administration on July 12 identified the recall by Hamilton Medical AG (Bonaduz, Switzerland) of its Hamilton-G5 Ventilators as Class I, the most serious. The recall was initiated because of a software failure that stops the ventilators after displaying an error message, leaving patients to…

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By: Judy Mathias
July 16, 2019
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Study: Practice of overlapping colorectal surgical procedures is safe

Editor's Note In this study, overlapping surgery in a tertiary care colorectal surgery practice was found to be safe and not linked to adverse patient outcomes. Of 1,270 patients having inpatient colorectal surgery at the Mayo Clinic, between 2012 and 2015, overlapping surgery occurred in 576 patients. Overall adverse events…

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By: Judy Mathias
July 15, 2019
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Disadvantaged neighborhoods linked to higher readmission rates

Editor's Note Residing in a disadvantaged neighborhood in Maryland and being discharged from a hospital serving a large proportion of disadvantaged neighborhoods were independently associated with increased risk of readmission in this study. 2015 data from Maryland hospitals showed a 14.1% 30-day readmission rate for patients living in neighborhoods in…

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By: Judy Mathias
July 11, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Don’t Choke Back the Smoke: Building a Business Case for Smoke Evacuation

After this session you’ll be able to: List the elements of creating a compelling business case in a perioperative environment., Discuss how a business case format can be used to convince administration and surgeons to invest in a smoke-free environment., Describe the effectiveness of an organized voice in successfully approving…

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