Surgical/Anesthesia

Latest Issue of OR Manager
October 2019
Home Surgical/Anesthesia

Association of overlapping, nonconcurrent surgery with patient outcomes

Editor's Note Overlapping, nonconcurrent surgery was not associated with an increase in serious unanticipated events in this study. Of 61,525 surgical procedures performed over 1 year at a large academic medical center, a total of 8,391 patients had any overlap (beginning or end) and were matched on 11 variables. Compared…

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By: Judy Mathias
September 12, 2019
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Joint Commission posts new CCC Certification measure implementation guide

Editor's Note The Joint Commission on September 11 announced that it had posted a new version of the Comprehensive Cardiac Center (CCC) Certification program’s standardized measures implementation guide on its website with updated measure specifications. Beginning January 1, 2020, data collection on five new inpatient performance measures will be mandatory…

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By: Judy Mathias
September 12, 2019
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Postop opioid prescribing in US, Canada, Sweden

Editor's Note This study found a very large variability in the use of postoperative opioids in different countries. The study sample included 129,379 opioid-naïve patients in the US, 84,653 in Canada, and 9,802 in Sweden. More than 70% of surgical patients in the US (76.2%) and Canada (78.6%) filled opioid prescriptions…

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By: Judy Mathias
September 10, 2019
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9/11 World Trade Center exposure linked to long-term CVD risk in firefighters

Editor's Note In this study, a significant association was found between exposure to World Trade Center dust and long-term cardiovascular disease (CVD) risk in firefighters. Of 9,796 firefighters analyzed, those who arrived first at the World Trade Center when dust was the thickest were found to have a 44% increased…

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By: Judy Mathias
September 9, 2019
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Robotic vs laparoscopic cholecystectomy

Editor's Note In this study, robotic cholecystectomy was associated with lesser lengths of stay and readmission rates than laparoscopic cholecystectomy. The robotic procedure also had greater operative duration and hospital costs. Of 3,255 patients who had cholecystectomy during the study period, the researchers matched 106 robotic and 1,060 laparoscopic cases.…

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By: Judy Mathias
September 5, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Be a Bridge Builder: Close the Knowledge Gap of Who You Report To

After this session you’ll be able to: Develop a collaborative relationship with your direct report., Explain how transparency is not just lip service., Provide data to equip your director to make sound decisions for your PACU., Why this is important: Do you ever find yourself thinking: “I wish my OR…

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FDA sets meeting to discuss EO sterilization

Editor's Note The Food & Drug Administration (FDA) announced September 4 that it will hold a Medical Devices Advisory Committee Meeting in November to discuss ethylene oxide (EO) sterilization of medical devices, including methods to reduce EO emissions. The committee also will provide recommendations on reducing infection risks from reprocessed…

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By: Judy Mathias
September 5, 2019
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FDA recommends transition to duodenoscopes with disposable components

Editor's Note The Food & Drug Administration (FDA) on August 29 issued a News Release recommending that healthcare facilities and manufacturers begin transitioning to duodenoscopes with disposable components to reduce the risk of patient infection. The FDA also announced additional actions they have taken to help ensure the safety of…

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By: Judy Mathias
September 4, 2019
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Effect of patient transport to the OR by anesthesia vs ICU personnel on workflow

Editor's Note In this study, changing the responsibility for ICU patient transports to the OR from the anesthesia to the ICU services did not change turnover times, but it resulted in more on-time starts and high compliance with preoperative checklist documentation. The crude proportion of on-time starts increased from 32.6%…

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By: Judy Mathias
September 3, 2019
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EHR efficiency, usability, stress differ by physician gender

Editor's Note There are gender differences in how physicians perceive EHR-related stress, satisfaction, and usability, finds this study. Of 25 ICU physicians who participated in the study, 48% were men and 52% were women. Overall task performance scores were similar, but men reported significantly higher perceived EHR workload stress and…

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By: Judy Mathias
September 3, 2019
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Joint Commission announces new Comprehensive Cardiac Center Certification performance measures

Editor's Note The Joint Commission on August 28 announced five new inpatient performance measures for the Comprehensive Cardiac Center Certification program, which will be effective January 1, 2020. Data collection for the measures will be mandatory for currently certified programs and organizations seeking initial certification. In addition to the mandatory…

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By: Judy Mathias
August 29, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

MH SWAT Team: The Unassuming Threat of Malignant Hyperthermia Inside and Outside of Surgical Services

After this session you’ll be able to: Identify areas of your hospital at risk for malignant hyperthermia., Create a malignant hyperthermia intervention process specific to your hospital needs and resources., Develop a plan to conduct mock drills to measure the effectiveness of your malignant hyperthermia process in any hospital area.,…

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