Patient Safety

Latest Issue of OR Manager
September 2019
Home Safety/Quality > Patient Safety > Patient Safety

Association of overlapping, nonconcurrent surgery with patient outcomes

Editor's Note Overlapping, nonconcurrent surgery was not associated with an increase in serious unanticipated events in this study. Of 61,525 surgical procedures performed over 1 year at a large academic medical center, a total of 8,391 patients had any overlap (beginning or end) and were matched on 11 variables. Compared…

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By: Judy Mathias
September 12, 2019
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Joint Commission posts new CCC Certification measure implementation guide

Editor's Note The Joint Commission on September 11 announced that it had posted a new version of the Comprehensive Cardiac Center (CCC) Certification program’s standardized measures implementation guide on its website with updated measure specifications. Beginning January 1, 2020, data collection on five new inpatient performance measures will be mandatory…

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By: Judy Mathias
September 12, 2019
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Effect of multicomponent home-based treatments on mobility after hip fracture in older adults

Editor's Note Current rehabilitation practices may not be sufficient for hip fracture recovery in older adults, this study finds. A total of 210 patients from three US academic centers were randomized to a training intervention group (105 patients), which included aerobic, strength, balance, and functional training, or an active control…

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By: Judy Mathias
September 11, 2019
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FDA: Metrix Company recalls certain lots of empty flexible IV bags

Editor's Note The Food & Drug Administration on September 10 posted the recall by the Metrix Company of Dubuque, Iowa, of specific lots of its empty IV flexible containers (bags) marketed under the Metrix Secure EVA Dual Chamber and Baxter ExactaMix names. The recall was initiated because of the potential…

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By: Judy Mathias
September 11, 2019
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Postop opioid prescribing in US, Canada, Sweden

Editor's Note This study found a very large variability in the use of postoperative opioids in different countries. The study sample included 129,379 opioid-naïve patients in the US, 84,653 in Canada, and 9,802 in Sweden. More than 70% of surgical patients in the US (76.2%) and Canada (78.6%) filled opioid prescriptions…

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By: Judy Mathias
September 10, 2019
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FDA: Hospira recalls one lot of Bacteriostatic Water for Injection

Editor's Note The Food & Drug Administration on September 6 posted Hospira, Inc’s recall of one lot of Bacteriostatic Water for Injection, USP, 30 mL, multi-dose vials, lot W20308. The recall was initiated because of the potential for a lack of sterility assurance. To date, Hospira has not received any…

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By: Judy Mathias
September 10, 2019
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9/11 World Trade Center exposure linked to long-term CVD risk in firefighters

Editor's Note In this study, a significant association was found between exposure to World Trade Center dust and long-term cardiovascular disease (CVD) risk in firefighters. Of 9,796 firefighters analyzed, those who arrived first at the World Trade Center when dust was the thickest were found to have a 44% increased…

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By: Judy Mathias
September 9, 2019
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Robotic vs laparoscopic cholecystectomy

Editor's Note In this study, robotic cholecystectomy was associated with lesser lengths of stay and readmission rates than laparoscopic cholecystectomy. The robotic procedure also had greater operative duration and hospital costs. Of 3,255 patients who had cholecystectomy during the study period, the researchers matched 106 robotic and 1,060 laparoscopic cases.…

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By: Judy Mathias
September 5, 2019
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FDA sets meeting to discuss EO sterilization

Editor's Note The Food & Drug Administration (FDA) announced September 4 that it will hold a Medical Devices Advisory Committee Meeting in November to discuss ethylene oxide (EO) sterilization of medical devices, including methods to reduce EO emissions. The committee also will provide recommendations on reducing infection risks from reprocessed…

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By: Judy Mathias
September 5, 2019
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Effect of ‘regression to the mean’ on excess readmissions

Editor's Note Strong evidence suggests that most declines in excess readmissions--after implementation of Medicare’s Hospital Readmission Reduction Program (HRRP)--at poorly performing hospitals can be explained by a statistical phenomenon called “regression to the mean [RTM],” this study finds. In RTM, entities farther away from the mean in one period are…

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By: Judy Mathias
September 4, 2019
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