Surgical/Anesthesia

Latest Issue of OR Manager
July 2020
Home Surgical/Anesthesia

Potential effect of contaminated bronchoscopes on COVID-19 patients

Editor's Note In this Letter to the Editor, epidemiologist and researcher Cori L. Ofstead, MSPH, and colleagues caution that because of high bronchoscope contamination rates found during routine use in previous studies, the possibility of bronchoscopy-associated transmission of COVID-19 or other pathogens must be considered. Though high-level disinfection should eliminate…

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By: Judy Mathias
July 8, 2020
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Surgical mortality, complications in COVID-19 patients

Editor's Note Surgical mortality and complications were higher in patients with COVID-19, compared with those without COVID-19, this Italian study finds. In this cohort study of 41 surgical patients with COVID-19 and 82 matched control patients without COVID-19: 30-day mortality was significantly higher in COVID-19 patients (19.51% of COVID-19 patients…

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By: Judy Mathias
June 30, 2020
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Declines in patient visits during COVID-19 projected to cost primary care $15 B

Editor's Note Harvard Medical School researchers are projecting that primary care practices will lose more than $15 billion by the end of the year. Because of the steep decline in office visits and fee for service payments from March to May, primary care practices are expected to lose more than…

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By: Judy Mathias
June 29, 2020
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Joint Commission revises position statement on preventing nosocomial COVID-19 infections

Editor's Note The Joint Commission announced June 24 that it has revised its position statement on preventing nosocomial COVID-19 infections as healthcare organizations resume regular care delivery. The Joint Commission supports the following positions: Continuing to follow Centers for Disease Control and Prevention’s recommendations for universal masking of staff, patients,…

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By: Judy Mathias
June 25, 2020
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Survey finds patient fears may limit return to surgery

Editor's Note As hospitals begin ramping up elective surgical procedures, healthcare leaders face significant challenges, the June 23 Becker’s Hospital Review reports. A market research survey by Lumeon (Boston) found that the top operational concern for healthcare leaders is making sure patients feel safe to schedule and come into hospitals…

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By: Judy Mathias
June 23, 2020
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Different timetables, similar challenges seen in elective surgical caseloads

Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…

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By: Elizabeth Wood
June 17, 2020
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Defining 'wants' vs 'needs' drives success of instrument standardization

Hospitals nationwide have thousands of unique instrument trays that take up valuable space on their shelves. Many trays are cluttered with rarely used instruments that are there “just in case.” The problem can be particularly acute in large health systems. Across Cleveland Clinic’s multiple locations in northeast Ohio, for example,…

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By: Judith M. Mathias, MA, RN
June 17, 2020
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Agile, data-driven strategy for managing the OR after COVID-19

As state authorities begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge: resuming elective surgical procedures that have been postponed for several weeks or months. How will they accommodate the looming glut of elective surgery demand with limited infrastructure and staff who are…

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By: Derrick Bransby, MBA
June 17, 2020
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Pre-COVID initiatives pave way for successful crisis management

Proactive leadership, early preparation, and ongoing planning and communication have helped mitigate COVID-19 threats at Tampa General Hospital in Tampa, Florida. As a result, resuming elective surgical cases in early May was a relatively seamless process thanks to process improvements made before the pandemic hit. “We started working on COVID-19…

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By: Elizabeth Wood
June 17, 2020
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Is your SPD ready for a post-COVID world?

While responding to demands of the COVID-19 pandemic, perioperative leaders are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the glut of demand for surgery due to postponement of elective and nonessential surgical procedures. Naturally, many focus on…

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By: Derrick Bransby, MBA
June 17, 2020
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