Nearly half of hospital patient harm events go unreported, OIG reveals
Editor's Note Nearly half of hospital harm events—particularly surgical events—were not captured by reporting systems, according to a July 30 TechTarget report on new findings from the Office of Inspector General (OIG). The OIG report examined 299 harm events experienced by a nationally representative sample of 770 Medicare patients discharged…
Reframing the surgical time out to fight complacency, improve outcomes
Editor's Note On this National Time Out Day, perioperative leaders are being called to reinvigorate the time-out process to combat complacency and reduce adverse events. Despite decades of safety initiatives, the adverse event rate in surgical care remains high—38% of perioperative cases, with nearly half tied directly to surgical procedures,…
Spotlight on safety: Call for renewed vigilance on National Time Out Day
Editor's Note Wrong-site surgeries are on the rise, and insufficient surgical time outs are a key contributor, according to new data highlighted by AORN on June 10 in honor of this year’s National Time Out Day on June 11. Based on The Joint Commission’s Sentinel Event Data 2023 Annual Review,…
Hospitals make steady gains in patient safety amid persistent challenges
Editor's Note Hospitals are making measurable strides in patient safety and workforce resilience, but sustained focus is needed to maintain progress, according to a March 13 report in Chief Healthcare Executive. The article focuses on a new analysis from the American Hospital Association (AHA) and Press Ganey. Based on responses…
EHR-integrated clinical decision support reduces unnecessary preoperative tests
Editor's Note An EHR-integrated closed-loop clinical decision support system (CDSS) significantly reduced unnecessary preoperative testing, improved patient safety, and significantly reduced costs across two hospitals in Madrid, Spain. As detailed in a study published January 3 in npj digital medicine, this system demonstrates the potential of automated guidelines to optimize…
Study finds high rates of preventable, adverse events in perioperative care
Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…
Deep neuromuscular blockade aids laparoscopic surgeons, but not necessarily patients
Editor's Note Research shows a deeper neuromuscular block (NMB) can help perform complex abdominal surgeries laparoscopically without impacting intraoperative safety or patient outcomes, according to an October 20 report in MedPage Today. Conducted across European centers and announced at the American Society of Anesthesiologists (ASA) annual meeting, the randomized trial enrolled…
Hurricane aftermath reports highlight rescues, flood-resistant engineering
Editor's Note The success of flood-resistant engineering and a daring rooftop rescue are amid the positive stories to emerge amid the many tragedies wrought by Hurricane Helene, which made landfall as a Category 4 this past weekend in Florida before drenching much of the Southeast and Midwest. Left with too…
Studies highlight success strategies for combatting handoff communication failure, care inequity
Editor's Note Recent research sheds new light on addressing two of the most pressing problems for surgical care: handoff communication failures and care bias and inequities leading to adverse—and preventable—events. These problems are the subjects of two separate success stories in the August issue of The Joint Commission Journal…
Physician survey illuminates negative impact of prior authorization
Editor's Note The American Medical Association (AMA) annual, nationwide prior authorization survey reveals that over 90% of physicians believe prior authorization negatively impacts patient clinical outcomes. “More telling,” AMA reported July 17, is the fact that 78% of physicians report that this process “sometimes or often” leads to patients abandoning…
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