Safety/Quality

Latest Issue of OR Manager
July 2019
Home Safety/Quality

CMS finalizes coverage policy for TAVR

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on June 21 issued final updates to its national coverage policy for Transcatheter Aortic Valve Replacement (TAVR). The update provides more flexibility in how centers meet volume requirements for performing TAVR, while emphasizing the importance of the heart team for…

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By: Judy Mathias
June 26, 2019
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Effect of fewer postop opioids prescribed, preop education on opioid consumption

Editor's Note Prescribing fewer opioid tablets postoperatively was associated with lower opioid consumption after anterior cruciate ligament reconstruction, and preoperative education was associated with lower duration and quantity of postoperative opioid use, this study finds. Of 264 patients analyzed, 109 received 50 tablets, 77 received 30 tablets and no education,…

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By: Judy Mathias
June 25, 2019
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FDA: Class I recall of Hudson RCI Sheridan, Sheridan Endotracheal Tubes

Editor's Note The Food & Drug Administration on June 21 identified the recall by Teleflex Medical (Wayne, Pennsylvania) of the Hudson RCI Sheridan and Sheridan Endotracheal Tubes as Class I, the most serious. The recall was initiated because of the risk of the Sheridan connector disconnecting from the breathing circuit.…

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By: Judy Mathias
June 25, 2019
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Study: Value found in physician-patient outcome assessment process

Editor's Note A new scoring system reveals a strong agreement between patient-reported and physician-reported outcomes after surgery, the Mayo Clinic reports. The study enrolled 100 patients who had elbow or shoulder surgery. The average time between surgery and follow-up was 31 months. In the categorical ratings, patients and physicians agreed…

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By: Judy Mathias
June 24, 2019
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CMS selects ECRI Institute for NQIIC designation

Editor's Note The ECRI Institute on June 20 announced that the Centers for Medicare & Medicaid Services (CMS) had awarded it with the Network of Quality Improvement and Innovation Contractors (NQIIC) designation. With this designation and partnering with other quality improvement contractors under the new CMS Indefinite Delivery/Indefinite Quanity (IDIQ)…

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By: Judy Mathias
June 24, 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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Effect of visible-light CED on microbial contamination, SSIs

Editor's Note A visible-light continuous environmental disinfection (CED) system, used with manual cleaning, resulted in a significant reduction in microbial surface contamination and surgical site infections (SSIs) in an orthopedic OR, in this study. Samples were taken from 25 surfaces within two contiguous ORs sharing an air supply after manual…

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By: Judy Mathias
June 20, 2019
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What if healthcare AI is the next asbestos?

Editor's Note At a precision medicine conference in Boston on June 18, Harvard Law School professor Jonathan Zittrain likened the use of artificial intelligence (AI) in healthcare to asbestos, saying: “it’s all over the place, even though at no point did you explicitly install it, and it has possibly some…

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By: Judy Mathias
June 20, 2019
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Variation in surgical outcomes across highest-rated hospitals

Editor's Note Risk-adjusted surgical outcomes vary widely across hospitals within networks that are on the Honor Roll of the US News & World Report, this study finds. In this analysis of 87 hospitals and 143,174 patients, outcomes were not consistently better at Honor Roll hospitals compared with network affiliates. For…

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By: Judy Mathias
June 20, 2019
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Coworker reports of unprofessional behavior by surgeons linked to complications in their patients

Editor's Note Patients whose surgeons had more coworker reports about unprofessional behavior in the 36 months before their surgical procedures had a significantly increased risk of complications, this study finds. In this analysis of 13,653 patients having surgical procedures performed by 202 surgeons in two academic medical centers, 1,583 (11.6%)…

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By: Judy Mathias
June 19, 2019
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Joint Commission announces new NAHQ report on quality competencies

Editor's Note The Joint Commission on June 19 announced that the National Association for Healthcare Quality (NAHQ) has issued a new report−“Key Workforce Competencies for Quality-Driven Healthcare”− that focuses on creating a new framework for competencies needed by healthcare organizations to meet new goals for quality-driven healthcare. Among the competencies:…

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By: Judy Mathias
June 19, 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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