Safety/Quality

Latest Issue of OR Manager
September 2019
Home Safety/Quality

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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Effect of patient transport to the OR by anesthesia vs ICU personnel on workflow

Editor's Note In this study, changing the responsibility for ICU patient transports to the OR from the anesthesia to the ICU services did not change turnover times, but it resulted in more on-time starts and high compliance with preoperative checklist documentation. The crude proportion of on-time starts increased from 32.6%…

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By: Judy Mathias
September 3, 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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Is it safe to let residents independently perform appendectomies?

Editor's Note Senior surgical residents can safely supervise junior residents performing appendectomies, and training programs should encourage faculty to let senior residents manage operative appendicitis as independently as possible as well as supervise junior residents intraoperatively, this study finds. In this review of 928 appendectomies performed at the University of…

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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

Lights, Camera, Action! An RCA Recast Safety Simulation

After this session you'll be able to: Describe two patient safety tools used to investigate a safety event. Discuss the importance of obtaining different perspectives of a safety event. Analyze a safety event utilizing patient safety tools. Why this is important: Root cause analysis (RCA) is a systematic approach to…

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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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How mistakes shape physicians’ perceptions of learning

Editor's Note Using a learning culture perspective that acknowledges blame and responsibility can facilitate learning from mistakes, this Canadian study finds. A total of 19 physicians were interviewed on their experiences in learning from medical errors. Memories of mistakes from residence training stood out, and participants expressed feeling both responsible…

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By: Judy Mathias
August 28, 2019
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Sentara uses AI-based tool to predict sepsis

Editor's Note Sentara Healthcare (Norfolk, Virginia) is using a sepsis prediction tool to help alert physicians and nurses when a patient is at risk of developing the infection, the August 26 Reading Eagle reports. The tool uses artificial intelligence (AI) to run some 4,500 pieces of patient data through an…

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By: Judy Mathias
August 28, 2019
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Machine learning algorithm predicts bleeding during CABG surgery

Editor's Note A machine learning algorithm based on data from the American College of Cardiology’s National Cardiovascular Data Registry accurately identified patients at risk for bleeding during or after coronary artery bypass grafting (CABG) surgery, the August 23 Health IT Analytics reports. Researchers developed the platform using a risk spectrum…

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By: Judy Mathias
August 27, 2019
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Surgical smoke exposure in OR personnel

Editor's Note This review article finds that surgical smoke is dangerous, but the severity of the risk has yet to be been determined. Therefore, no safe level is known. Though numerous studies have been performed on the chemical composition of surgical smoke, the components remain unclear. The variability is likely…

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By: Judy Mathias
August 26, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

ASC Safety Begins With Preadmission and Patient Selection

After this session you'll be able to: Define the role of the preadmission department ? what it is and what it is not. Develop criteria for patient selection based on available resources to mitigate your organizational risk. Describe how a solid preadmission and patient selection process can provide an essential…

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