In the OR, precision and focus can mean the difference between life and death. However, surgical patient outcomes hinge on more than the competence of those working in these inherently intense environments. Every procedure also depends on the laborious, behind-the-scenes efforts of the people responsible for ensuring every surgical instrument…

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Editor's Note Unnecessary traffic, workflow interruptions, and lapses in protocol in the OR increase the risk of surgical site infections (SSIs), according to an April 23 article in Infection Control Today. While sterile technique, antibiotic use, and instrument cleanliness remain front-line defenses against infection, authors Katharine J. Hoffman, MPH, CIC, and…

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Editor's Note Conventional cleaning protocols fail to remove visible soil and debris from lumened surgical instruments, raising urgent concerns about patient safety and sterilization efficacy. That’s the central finding of a study published February 11 in The American Journal of Infection Control, which used borescopes to inspect the lumens of…

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Imagine completely eliminating surgical site infections (SSIs) without significantly disrupting perioperative workflows. At Magic Valley Regional Medical Center (MVMC), a mid-sized community hospital in Twin Falls, Idaho, a nurse-led pilot project accomplished just that for breast and colorectal surgeries. As for other procedures, overall infection rates are down by nearly…

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Editor's Note High-level disinfection (HLD) fails to reliably eliminate harmful microbes from flexible endoscopes in real-world healthcare settings, according to a review of endoscope processing effectiveness published April 8 in the American Journal of Infection Control. The review highlights routine breaches in cleaning protocols and links contaminated endoscopes to numerous…

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Editor's Note A systematic review found no strong evidence that compliance with the CMS Severe Sepsis and Septic Shock Management Bundle (SEP-1) reduces mortality, raising questions about its inclusion in hospital performance measures, according to a February 19 report from the University of Minnesota’s Center for Infectious Disease Research and…

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The poster presentations at the 2024 OR Manager Conference showcased exceptional perioperative initiatives, highlighting advancements and innovative practices. From streamlining documentation and optimizing billing processes to ensuring patient and staff safety in postanesthesia settings, the posters selected last year showed the ingenuity and dedication of healthcare professionals committed to excellence…

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Reduced costs, faster recovery, and other advantages can make outpatient surgical procedures more convenient for providers and patients alike. Ambulatory surgery centers (ASCs) are incredibly safe, but a lot of work goes into infection control. Cross-trained staff often wear many hats, and limited budgets may not leave room for dedicated…

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It is often said that small actions lead to big results. This so happens to be the case with hand hygiene compliance (HHC) in healthcare. Imagine a simple act, like washing hands, cutting infection rates by half—hospital-acquired infections (HAIs) and surgical site infections being reduced simply by improving handwashing behaviors.…

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Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…

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