Quality Improvement

Latest Issue of OR Manager
June 2020
Home Safety/Quality > Quality Improvement

Clinical characteristics, outcomes of hospitalized children, adolescents with COVID-19

Editor's Note This study by researchers from Children’s Hospital at Montefiore, Bronx, NY, describes a high rate of severe COVID-19 disease in patients aged 1 month to 21 years requiring pediatric intensive care unit (PICU) admissions. Of 46 patients admitted to the hospital (33 to the general pediatric unit, 13…

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By: Judy Mathias
May 20, 2020
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An agile, data-driven strategy for post-COVID-19 OR management

Editor's Note As states begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge in resuming elective surgical procedures. Cincinnati Children’s Hospital Medical Center developed a model that made best use of available data (eg, case logs, forecasts, etc). Adoption of an agile methodology—a…

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By: Judy Mathias
May 14, 2020
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AI diagnostic predicts COVID-19 without testing

Editor's Note In this study, researchers at the Massachusetts General Hospital, Boston; King’s College, London; and health science company Zoe Global, Accra, Ghana; developed an artificial intelligence (AI) diagnostic that can predict whether someone is likely to have COVID-19 based on their symptoms. The researchers analyzed data from 2,618,862 people…

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By: Judy Mathias
May 12, 2020
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Dr Gawande stepping down as Haven CEO

Editor's Note The May 8 Wall Street Journal reports that Atul Gawande, MD, is stepping away from the day-to-day operations of  Haven—the Amazon, JPMorgan, Berkshire Hathaway healthcare venture. Instead Dr Gawande will be chairman of the joint venture so he can focus more on policy and advocacy work, particularly related…

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By: Judy Mathias
May 12, 2020
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OR leaders chart new territory for resuming elective surgery

Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…

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By: Elizabeth Wood
May 12, 2020
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Children's hospital revises patient care criteria for COVID-19

The COVID-19 pandemic is having a major impact on all aspects of healthcare delivery worldwide. For children’s hospitals, the crisis has created unique challenges in ensuring patient and provider safety as well as helping to contain the spread of COVID-19 through their communities. According to the Centers for Disease Control…

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By: Judith M. Mathias, MA, RN
May 12, 2020
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Pandemic has altered perceptions of healthcare industry

Although COVID-19 cases are still emerging in many parts of the country, some businesses have reopened and some elective procedures are once again being performed. Many events that did not take place in the spring will be held in the fall, including the annual OR Manager Conference, September 30 to…

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By: Elizabeth Wood
May 12, 2020
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Hospital-wide ERAS adoption hinges on leadership support

Enhanced Recovery After Surgery (ERAS) is arguably the greatest advancement in surgery in the last 20 years. But even healthcare leaders who support the use of ERAS to achieve better outcomes can find it daunting to implement the protocols throughout their hospital systems. Standardizing practices across areas that have historically…

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By: OR Manager
May 12, 2020
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Device safety depends on routine cleaning, maintenance

Routine cleaning and maintenance of the equipment used to process medical devices is important to prevent contamination of medical devices. This article will discuss the required cleaning and maintenance in a sterile processing department (SPD) as well as the guidelines and regulations that inform these practices.   Environmental issues Recommendations…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
May 12, 2020
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Implementing safety huddles to improve patient outcomes

The fast-paced environment in an ambulatory surgery center (ASC) requires meticulous handoffs, and daily huddles—brief (10 to 20 minute) stand-up meetings—can raise awareness of any potential safety issues. That has been the experience at UnityPoint Health in Des Moines, Iowa, and some of what we learned might help others improve…

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By: OR Manager
May 12, 2020
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