Technology

Latest Issue of OR Manager
July 2019

Patient, surgeon outcomes reporting app helps predict success of ventral hernia repair

Editor's Note Researchers have developed an online app that patients and surgeons can use to guide preoperative planning and provide predictive data for how a patient’s ventral hernia repair will turn out. The basis of the app is a tool named the “Outcomes Reporting App for CLinical and Patient Engagement”…

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By: Judy Mathias
May 8, 2019
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Use of TAVR in low-risk patients

Editor's Note In this study of low-risk patients with severe aortic stenosis, outcomes were significantly better at 1 year follow-up with transcatheter aortic-valve replacement (TAVR) than surgical aortic-valve replacement. In 1,000 patients at 71 centers who were randomized to undergo either TAVR or surgical aortic-valve replacement, the rate of the…

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By: Judy Mathias
May 2, 2019
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Off-label use of simethicone, lubricants, and tissue glue contributes to endoscope reprocessing failures

Editor's Note The off-label use of defoaming agents, lubricants, and tissue glue is common, and these insoluable substances are not removed during reprocessing, this study finds. Of 69 fully reprocessed endoscopes examined in four hospitals, microbial cultures were positive for 50% or more. The researchers, led by Cori Ofstead, MSPH,…

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By: Judy Mathias
April 23, 2019
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FDA announces new efforts to protect patients from risks associated with surgical staplers, implantable staples

Editor's Note The Food & Drug Administration on April 23 announced new steps it will be taking to help reduce risks associated with surgical staplers for internal use and implantable staples. The proposed steps include: Reclassifying surgical staplers from Class I (low risk) to Class II (moderate risk). Issuing guidance to…

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By: Judy Mathias
April 23, 2019
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How will artificial intelligence impact surgical patient care? Part 1

Artificial intelligence (AI) may be coming to your OR sooner than you think. AI is already being used to identify areas needing quality improvement by analyzing surgical workflow, communication patterns, and errors that went unnoticed during a procedure. OR leaders need to understand AI and participate in its development and…

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By: Cynthia Saver, MS, RN
April 22, 2019
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Editorial

Artificial intelligence (AI) seems to pop up in headlines nearly every day. With applications ranging from individual nutritional guidance to prediction of premature death, ever-evolving computer-based algorithms present intriguing possibilities for the future of healthcare. Depending on how proactive your facility is and how rich in resources, you may already…

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By: Elizabeth Wood
April 22, 2019
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New technology and workflow lead to surgical volume growth

Sarasota Memorial Health Care System (SMH) in Sarasota, Florida, is a Level 2 trauma center with 839 beds and more than 900 physicians. The 430 members of the surgical staff perform more than 24,300 inpatient and outpatient surgical procedures in the 34 operating suites each year. With this level of…

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By: OR Manager
April 22, 2019
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AI detects prostate cancer as well as experienced radiologists

Editor's Note A new artificial intelligence (AI) system developed by researchers at the UCLA David Geffen School of Medicine improved the ability to diagnose prostate cancer in this study. The system, called “FocalNet,” helps identify and predict the aggressiveness of the disease by evaluating MRI scans. Results showed that FocalNet…

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By: Judy Mathias
April 17, 2019
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FDA: Class I recall of Brainlab Spine & Trauma 3D Navigation Software

Editor's Note The Food & Drug Administration (FDA) on April 15 identified the recall of Brainlab's Spine & Trauma 3D Navigation Software as Class I, the most serious. The Software is being recalled because of the potential for incorrect information to display during surgery, which may prevent the surgeon from…

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By: Judy Mathias
April 16, 2019
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Using machine learning for preop prediction of postop mortality, ICU admission

Editor's Note Machine learning can be used to improve surgical risk prediction compared to traditional risk calculators, this study from Singapore finds. The traditional Combined Assessment of Risk Encountered in Surgery and the American Society of Anesthesiologists Physical Status models were compared with machine learning models in the prediction of…

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By: Judy Mathias
April 11, 2019
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