Safety/Quality

Latest Issue of OR Manager
July 2019
Home Safety/Quality

Nurses have increased risk of sleep disorders, deprivation

Editor's Note Academic medical center nurses have a high prevalence of insufficient sleep and symptoms of sleep disorders, finds this study presented June 10 at the annual meeting of the Associated Professional Sleep Societies, in San Antonio. A survey of 1,165 nurses at an academic medical center found that: 49%…

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By: Judy Mathias
June 13, 2019
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Joint Commission evaluating revisions to USP General Chapter <797>

Editor's Note The Joint Commission on June 12 announced that it is reviewing the United States Pharmacopeial Convention (USP) revisions to its General Chapter <797> Pharmaceutical Compounding−Sterile Preparations. The Joint Commission is evaluating the effect of the revisions on its accredited organizations and plans to issue guidance and updated survey…

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By: Judy Mathias
June 13, 2019
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Hospital staffing models associated with failure to rescue rates

Editor's Note Hospitals with low failure to rescue (FTR) rates had significantly more staffing resources than hospitals with high FTR rates, this study finds. In this analysis of 44,567 surgical patients in the Michigan Quality Surgical Collaborative, hospital FTR rates across low, middle and high tertiles were 8.9%, 16.5%, and…

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By: Judy Mathias
June 13, 2019
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Association of TAVR for bicuspid vs tricuspid aortic stenosis with mortality, stroke

Editor's Note In this study, patients who had transcatheter aortic valve replacement (TAVR) for bicuspid compared with tricuspid aortic stenosis had no significant difference in mortality, but they had a 30-day increased risk of stroke. In this cohort of 2,691 matched pairs of patients having TAVR for bicuspid vs tricuspid…

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By: Judy Mathias
June 12, 2019
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CMS seeking comments on Patients over Paperwork initiative

Editor's Note The Centers for Medicare and Medicaid Services (CMS) announced June 6 that it is seeking new ideas on how to continue the progress of its Patients over Paperwork initiative. The initiative, which was launched in fall of 2017, has already cut the “red tape” that weighs down the…

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By: Judy Mathias
June 12, 2019
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Operative outcomes of new vs experienced surgeons

Editor's Note The majority of differences in outcomes between new and experiences surgeons are associated with the context in which care is delivered and patient complexity, rather than inexperience, this study finds. A total of 694,165 Medicare patients treated by 8,503 experienced surgeons were matched to 68,036 treated by 2,119…

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By: Judy Mathias
June 11, 2019
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Welcome to the first issue of ASC Manager

Welcome to the first issue of OR Manager’s Ambulatory Surgery Center (ASC)-focused supplement: ASC Manager. This supplement will be inserted quarterly and is a new benefit for subscribers. The ASC market is projected to in­crease from $36 billion in 2018 to $40 billion by 2020 according to a recent market…

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By: Judy Mathias
June 10, 2019
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Improved reporting system increases disruptive behavior reports

Editor's Note After implementing an improved reporting system for disruptive behavior that included the ability to report positive behaviors, the number and length of reports increased in this study. Researchers compared reports in the Patient Safety Net (PSN) event reporting system (2010-2015) to the RL Solutions RL6 system (2015-2018), which…

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By: Judy Mathias
June 7, 2019
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AHRQ opens enrollment for hospitals to implement enhanced recovery pathways

Editor's Note The American College of Surgeons on June 6 called for interested hospitals to join a new cohort of the Agency for Healthcare Research and Quality (AHRQ) Safety Program for Improving Surgical Care and Recovery (ISCR). In the program, presented in collaboration with the Johns Hopkins Medicine Armstrong Institute…

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By: Judy Mathias
June 7, 2019
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Opioid epidemic increases number of hearts available for transplant

Editor's Note The opioid epidemic has expanded the pool of overdose-death donors (ODDs) for heart transplantation. Even though ODDs have higher rates of hepatitis C, cardiac allograft quality indices are favorable, and recipient outcomes are similar to those with non-ODD hearts, this study finds. Of 15,904 heart transplant donors analyzed,…

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By: Judy Mathias
June 6, 2019
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