Surgical Site

Latest Issue of OR Manager
June 2020
Home Safety/Quality > Patient Safety > Surgical Site

Establishing and leveraging data analytics for ERAS

Virginia Commonwealth University Health System (VCU Health) in Richmond is a Magnet facility, and as such we continually examine innovative ideas to improve the quality, safety, and care of our patients. Evidence has linked Enhanced Recovery After Surgery (ERAS) with better outcomes, and ERAS has become a focal point at…

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By: OR Manager
March 16, 2020
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Study: Circadian rhythm involved in healing from surgery

Editor's Note The effectiveness of non-steroidal anti-inflammatory drugs (NSAIDs) in managing pain, healing, and recovery after bone fracture depends on when you take them, this study from McGill University finds. The researchers found that NSAIDs are most effective in promoting postoperative healing when taken during the active phase of the…

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By: Judy Mathias
January 22, 2020
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Development of surgery-specific second victim peer support program

Editor's Note In this study, researchers at the Massachusetts General Hospital, designed, implemented, and assessed the effect of the first surgery-specific peer support program in the US. The program uses five steps: creation of a conceptual framework choice of peer supporters training of peer supporters multifaceted identification of major adverse…

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By: Judy Mathias
December 17, 2019
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Editorial

Projections for healthcare industry trends in 2020 started to proliferate near the end of 2019 as attention turned to the new year. Reflecting on the Institute of Medicine’s (IOM) landmark 1999 report, “To Err Is Human: Building a Safer Health System,” some healthcare leaders said the report has raised awareness…

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By: OR Manager
December 17, 2019
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UC San Diego opens new Center for Fluorescence-Guided Surgery

Editor's Note The Center for Fluorescence-Guided Surgery at UC San Diego Health is the first in the country dedicated to delivering a new caliber of surgical accuracy that allows surgeons to identify cancerous or critical tissues with GPS-like precision by lighting them up, the December 5 UC San Diego Health…

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By: Judy Mathias
December 9, 2019
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Postop infection linked to risk of long-term infection, mortality

Editor's Note Infection after surgery during postoperative days 0 to 30 is significantly associated with long-term infection and mortality, this study finds. In this analysis of 659,486 patients from the Veterans Health Administration, 3.6% had a 30-day infection, 6.6% had a long-term infection, and 3.8% died during follow-up. At any…

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By: Judy Mathias
November 12, 2019
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Association of disposable OR jackets with SSIs

Editor's Note The use of long-sleeved disposable OR jackets as recommended by AORN is not associated with reductions in surgical site infections (SSIs) and presents a fiscal burden, this study finds. In this analysis of 60,009 patients in 12 hospitals in a large multicenter health organization during a 55 month…

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By: Judy Mathias
October 29, 2019
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Association between social risk factors and SSIs after colectomy, abdominal hysterectomy

Editor's Note Social risk factors were inconsistently associated with surgical site infection (SSI) rates after colectomy or abdominal hysterectomy in this study. In this analysis of 149,741 patients, Medicaid status (a marker for poverty) and living in a low-income zip code were linked to higher SSI rates after colectomy. For…

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By: Judy Mathias
October 3, 2019
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Total hip arthroplasty vs hemiarthroplasty for hip fracture

Editor's Note In this study of patients with displaced femoral neck fractures, the incidence of secondary procedures did not differ significantly between patients who had total hip arthroplasty (THA) and those who had hemiarthroplasty. THA was associated with modestly better function over 2 years but with a slightly higher incidence…

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By: Judy Mathias
October 3, 2019
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Effect of patient comorbidities on SSIs after hip, knee replacement

Editor's Note This study found that surgical site infections (SSIs) occurred most commonly after total joint replacement revision procedures and were related to many patient comorbidities, which were significantly associated with a higher risk of SSIs. In this analysis of 335,134 total knee replacements (TKRs) and 163,547 total hip replacements…

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By: Judy Mathias
September 23, 2019
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