Editor's Note An AI prediction model that uses near-real-time data to generate a patient risk score shows the promise of AI for helping physicians and nurses coordinate on patient care, according to findings published March 25 in JAMA Internal Medicine. Performed by researchers at Stanford Medicine, the study examined an…

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Left sniffling and sneezing after a whirlwind 4 days at my first AORN Global Surgical Conference and Expo in Nashville, Tennessee, I had more on my mind than whether the term “conference-acquired infection (CAI)” was officially part of the medical nomenclature, much less whether any studies had been done. I…

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Editor's Note A study from the Joint Commission found that more than 25 percent of hospitals have not adopted any of the four policies identified by the organization as best-practice, evidence-based discharge practices for preventing suicide in at-risk patients.   According to a March 12 report on the implementation gap…

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In every OR, the complicated dance of surgical care coordination—the series of handoffs between stakeholders throughout the surgery lifecycle—is performed mainly in the background. Those stakeholders include physician offices, schedulers, preadmission testing, insurance verification, vendors, sterile processing, supply chain, anesthesia, and surgical staff. But what does it look like when…

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Editor's Note The Healthcare Corporation of America (HCA), on August 29, announced a new collaboration with Google Cloud to bring generative artificial intelligence (AI) to its hospitals. Emergency department physicians at four HCA hospitals are already using Google’s AI technology and Augmedix to create accurate and timely medical notes from…

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Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…

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Surgical errors and emergencies can happen at any time, at any facility. For ambulatory surgery centers (ASCs), a major challenge is finding official guidance on the topic. For the most part, it’s up to the individual facility to craft its own policies, competencies, and drills for OR emergencies. “The Association…

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An effective handoff helps ensure care transitions are safe and efficient, but achieving the ideal handoff can be challenging. Part 1 of this two-part series provided an overview of the role of handoffs in the perioperative setting (OR Manager, January 2020, 22-23, 25). This article offers best practices for successful…

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A care transition poses a danger point for patients—failing to “hand off” needed information from one clinician to another can lead to significant morbidity and mortality. The Joint Commission was so concerned about handoffs that in 2017 it issued a sentinel event alert on the topic. “Handoffs are a safety…

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In 2017, the Joint Commission issued a Sentinel Alert Event on the problem of inadequate handoff communication, focusing attention on this vital aspect of care. (See related story, p 22.) Clinicians and leaders agree that handoffs are important, but implementing them effectively can be challenging, particularly in the fast-paced perioperative…

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