Safety/Quality

Latest Issue of OR Manager
September 2019
Home Safety/Quality

FDA: Class I recall of Vyaire Medical enFlow fluid warming disposable cartridge

Editor's Note The Food & Drug Administration (FDA) on August 21 identified Medline Industries’ recall of Centurion Medical Products’ Primary Warmer Pack containing the Vyaire Medical enFlow fluid warming system disposable cartridge as Class I, the most serious. The recall was initiated because the cartridge may elute aluminum into infused…

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By: Judy Mathias
August 26, 2019
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ASC Manager Issue 2

Healthcare providers have seen a steady stream of inpatient-only procedures migrate to ambulatory surgery centers (ASCs) over the past few years. Medicare is reimbursing an increasing number of procedures performed in the outpatient setting, many of them cardiovascular in nature. This issue of ASC Manager explores the development of a…

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By: Judy Mathias
August 23, 2019
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Inspections reveal need to overhaul bronchoscope reprocessing methods

Extensive research by Cori L. Ofstead, MSPH, and her colleagues at Ofstead & Associates (St Paul, Minnesota) has raised concerns about insufficient reprocessing of gastrointestinal endoscopes and ureteroscopes—even when recommended practices are followed—and their new study makes a compelling case for more stringent reprocessing of bronchoscopes as well. In their…

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By: Judith M. Mathias, MA, RN
August 23, 2019
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Team training empowers OR staff to improve patient safety

Poor communication has been the root cause of many sentinel events over the years, and there has been growing recognition of how the work environment and culture influence patient outcomes. In a 2018 Sentinel Event Alert, the Joint Commission stressed the need to develop a “reporting culture”—to make it safe…

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By: Elizabeth Wood
August 23, 2019
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Proactive policies help protect staff from bloodborne pathogen exposure

Healthcare workers are at risk for bloodborne pathogen exposures in areas ranging from the clinic to the OR—both inpatient and outpatient settings. Such exposures not only cause anxiety, they cost an estimated $3,000 to $5,000 per exposure for things such as baseline and follow-up laboratory testing, treatment of exposed personnel,…

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By: Amy L. Bethel, MPA, RN, NE-BC
August 23, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Making Enhanced Recovery the Norm, Not the Exception

After this session you'll be able to: Understand how a value-based LEAN process can positively impact the introduction of an enhanced recovery program. Develop strategies to implement use of enhanced recovery protocols. Explain the ways in which enhanced recovery is measured for effectiveness. Why this is important: Enhanced Recovery After…

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Cardiothoracic surgery patients at high risk for postop opioid dependence

Editor's Note This study finds that the amount of opioids prescribed for patients after cardiothoracic surgery has a direct relationship with the risk for opioid dependence and persistent opioid use several months after surgery. Of nearly 25,000 opioid-naïve Medicare patients analyzed, 15.7% of patients who had lung surgery and 12.5%…

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By: Judy Mathias
August 22, 2019
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FDA: Class I recall of Edwards Lifesciences SAPIEN 3 Ultra Delivery System

Editor's Note The Food and Drug Administration on August 22 identified the recall by Edwards Lifesciences of all lots of its SAPIEN 3 Ultra Delivery System as Class I, the most serious. The delivery system is part of the Edwards SAPIEN 3 Transcatheter Heart Valve System. The recall was initiated…

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By: Judy Mathias
August 22, 2019
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Effect of state legislation in Florida on opioid prescriptions after outpatient surgery

Editor's Note Opioid prescriptions for patients having common outpatient surgical procedures at a large university hospital in Florida were substantially reduced within 6 months after implementation of state legislation limiting the duration of opioid prescriptions, this study finds. Of 1,467 surgical patients included in the study: The proportion receiving opioid…

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By: Judy Mathias
August 22, 2019
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Joint Commission: Reminder for CY 2019 hospital data submission

Editor's Note The Joint Commission on August 21 posted a reminder for accredited hospitals with electronic clinical quality measure (eCQM) requirements that they must submit CY 2019 eCQM data via the Direct Data Submission (DDS) Platform. The deadline to onboard to the DDS Platform is December 20, 2019, and the…

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By: Judy Mathias
August 22, 2019
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Is disruptive behavior inherent to the surgeon or environment?

Editor's Note Unclear policies and urgent competing responsibilities in the OR create stress, suggesting that the environment is the primary contributor to disruptive behavior by the surgeon, this study finds. Of 314 reports of disruptive behavior from surgical, medical, and other specialties, which included both the reporter account and involved…

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By: Judy Mathias
August 21, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Pre-Conference Workshop: Volume Versus Value: ASCs Transition to Value-Based Care

After this session you'll be able to: Discuss the elements of value-based care/value-based purchasing. Review techniques for how to engage physicians, your team, and your patients in the ASC. Explain potential changes to be made in the Quality Assessment Performance Improvement (QAPI) program to address value-based care as it relates…

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