Performance Improvement

Latest Issue of OR Manager
February 2021
Home Safety/Quality > Quality Improvement > Performance Improvement

Preop screening for COVID-19 in asymptomatic patients using chest CT, RT-PCR

Editor's Note This study from the Netherlands found that the added value of using chest CT in addition to RT-PCR to screen patients for COVID-19 before surgery was limited. Of 2,093 preoperative patients without COVID-19 symptoms analyzed, 1,224 were screened by CT and RT-PCR and 869 by chest CT only.…

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By: Judy Mathias
December 15, 2020
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Illuminating infection risks in urology—A spotlight on COVID-19

Now that facilities are returning to performing urology cases, what should staff be aware of regarding COVID-19 and urology in general? This was the question Lane Jacobs, an expert in global product solutions for Boston Scientific, Marlborough, Massachusetts, asked Cori L. Ofstead, MSPH, president and chief executive officer, Ofstead &…

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By: Judith M. Mathias, MA, RN
December 15, 2020
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COVID-19 has hastened outpatient surgery migration

The latest surge of COVID-19 cases has put many hospitals in a precarious position, with shortages of staff, space, and supplies. Lessons learned earlier in the pandemic cannot necessarily shore up systems that have been overwhelmed with patients. Throughout most of 2020, some patients postponed medical or surgical care. When…

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By: Elizabeth Wood
December 15, 2020
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ACS, ASA, AORN call for centralized, coordinated governmental action for COVID-19

Editor's Note In a November 23 letter to federal government leaders, the American College of Surgeons (ACS), American Society of Anesthesiologists (ASA), and Association of periOperative Registered Nurses (AORN) asked officials “to act collectively and quickly in support of hospitals and healthcare providers as they continue to struggle in response…

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By: Judy Mathias
November 30, 2020
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Shifts in case mix bode well for future of outpatient surgery

Before COVID-19 emerged as the biggest disruptor of 2020, many ambulatory surgery centers (ASCs) had been growing volume and receiving Medicare reimbursements for an increasing number of procedures. Stopping elective procedures in the spring was a significant setback, especially for smaller, independent facilities, notes a Global Healthcare Advisors (GHA) brief,…

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By: Elizabeth Wood
November 17, 2020
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CMS penalizes 2,545 hospitals for high readmissions

Editor's Note The Centers for Medicare and Medicaid Services (CMS) will penalize and reduce a year’s worth of payments to nearly half of the nation’s hospitals because of 30-day readmission rates, the November 2 Kaiser Health News reports. The penalties are part of the ninth year of the Hospital Readmissions…

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By: Judy Mathias
November 3, 2020
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Study: Aspirin use linked to decreased COVID-19 mortality

Editor's Note In this study led by researchers from the University of Maryland School f Medicine, Baltimore, hospitalized COVID-19 patients who took low-dose aspirin daily for their heart health had a 47% lower risk of dying in the hospital than those who did not take aspirin. This retrospective analysis of…

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By: Judy Mathias
October 28, 2020
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Faulty bronchoscope reprocessing raises risks of infection transmission

Preventing infection transmission has been a chief concern of healthcare leaders and staff striving to protect their patients and themselves from SARS-CoV-2, the virus that causes COVID-19. The virus poses an insidious threat that includes the possibility of bronchoscopy-associated transmission of COVID-19. Long before the pandemic, epidemiologist and researcher Cori…

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By: Judith M. Mathias, MA, RN
October 21, 2020
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Think 'outside the blocks' to shore up balance sheets

Editor’s Note: This article from Whitman Partners addresses some ways OR nurse leaders can help their health systems recover from the financial fallout and disruption in normal processes caused by the COVID-19 pandemic. Whitman Partners is a Portland, Oregon-based specialty search firm dedicated to placing directors of surgical services at…

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By: Carisa Brewster
October 21, 2020
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Consider a PSH as a post-pandemic strategy

Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…

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By: Barbara McClenathan, MBA-HCM, BSN, RN, CNOR and Lisa Branding, MHSA
October 21, 2020
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