Editor's Note When the anesthesiologist sheaths the laryngoscope immediately after endotracheal intubation, contamination of the IV hub, patient, and intraoperative environment is significantly reduced, this study finds. In a simulated study using ultraviolet light to detect contamination of seven sites on a patient, contamination was found on an average of…

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Editor's Note Some 120,000 more patients would get surgical site infections (SSIs) and 6,300 more would die from those infections if antibiotics given before surgery become 30% less effective, this study finds. Researchers estimated that between 38.7% and 50.9% of pathogens causing SSIs in the US are resistant to standard…

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Editor's Note The Food and Drug Administration on October 15 issued a safety alert that heater-cooler devices have been associated with Nontuberculous Mycobacteria infections, primarily in patients undergoing cardiothoracic surgical procedures. Devices include: oxygenator heat exchangers cardioplegia heat exchangers warming/cooling blankets. Between January 2010 and August 2015, the FDA received…

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Editor's Note Medicaid patients had a twofold higher risk of surgical site infections (SSIs) after cesarean delivery than privately insured patients, this study finds. The higher risk remained even after adjusting for demographic and clinical variables. Medicaid might represent factors the study did not account for, such as socioeconomic status…

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Editor's Note In this study, more case-relevant communication among surgical team members during a procedure was associated with fewer organ/space surgical site infections (SSIs). More case-irrelevant communication during the closing phase of the procedure was linked to an increased incidence of incisional SSIs. Distractions were not associated with SSIs. Case-irrelevant…

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Editor's Note Two different measurement systems are used to track performance in lowering the rate of catheter-associated urinary tract infections (CAUTIs). The Agency for Healthcare Research and Quality metric has shown a 28.2% decrease in CAUTIs since 2010, whereas the Centers for Disease Control and Prevention’s metric has shown a…

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Editor's Note An electronic blood tracking system that monitors how physicians prescribe postoperative blood transfusions significantly reduced the amount of blood patients receive and cut infection rates in half, according to a study presented October 7 at the 2015 Clinical Congress of the American College of Surgeons in Chicago. The…

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Editor's Note The Food and Drug Administration on October 5 ordered three manufacturers of duodenoscopes marketed in the US to study the reprocessing of their devices in the clinical setting where they are used. The three manufacturers—Olympus America, Inc; Fujifilm Medical Systems, USA, Inc; and Hoya Corp (Pentax Life Care…

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Editor's Note A heating, ventilating, and air conditioning task force on September 28 issued interim guidance to help health care facilities maintain appropriate temperature and humidity in ORs and sterile processing departments, AHA News reports. The interim guide was developed as the task force is working to achieve consensus on…

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Although most patients spend a brief time in the OR, what happens there significantly impacts a hospital’s 30-day readmission rate. According to a 2015 study in JAMA, complications related to the surgical procedure are the most common cause of readmission after surgery. The researchers analyzed data from the American College…

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