Tag: Patient Safety

FDA: Recall of Baxter 50 mm 0.2 micron filters

Editor's Note The Food and Drug Administration on October 3 announced the recall by Baxter International (Deerfield, Illinois) of its 50 mm 0.2 micron filters because of the potential for a missing filter support membrane and for potential presence of particulate matter. The filter is a bacteria and particulate filter…

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By: Judy Mathias
October 4, 2016
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Joint Commission: NAN alert on medication leaking from BD syringes

Editor's Note The Joint Commission on September 28 reported on an alert the National Alert Network (NAN) issued on medications leaking from Becton-Dickinson (BD) syringes (predominantly 10 mL). Leaks have extended past the first and second rib of the stopper, and appear to occur as medication is drawn into the…

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By: Judy Mathias
September 30, 2016
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Predictors of high cost of care after bariatric surgery

Editor's Note Suboptimal postoperative outcomes are the primary driver of high overall costs of care after bariatric surgical procedures, this study finds. The study included morbidly obese patients who underwent laparoscopic vertical sleeve gastrectomy (74 patients) or laparoscopic Roux-en-Y gastric bypass (270 patients) at a single institution from 2010 to…

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By: Judy Mathias
September 30, 2016
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Effect of propofol vs inhalation anesthesia on postop pain

Editor's Note In this meta-analysis, propofol anesthesia was associated with reduced postoperative pain intensity at 30 minutes, 1 hour, and 12 hours as well as reduced morphine-equivalent consumption 0 to 24 hours postoperatively. Fewer patients required postoperative rescue analgesics during 0 to 24 hours after surgery under propofol, and patients…

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By: Judy Mathias
September 28, 2016
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Association between OR teamwork and checklist performance

Editor's Note Surgeon buy-in and OR teamwork characterized by shared clinical leadership, open communication, active coordination, and mutual respect related positively to case-related conversation prompts, but not to completing procedural checks, this study finds. A total of 207 procedures in 10 South Carolina hospitals were included in the study. The…

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By: Judy Mathias
September 27, 2016
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Air Force Academy alerts patients to improperly processed endoscopes

Editor's Note The Air Force Academy (Colorado Springs, Colorado) is notifying 267 patients from the school’s medical clinic and the Veterans Affairs Eastern Colorado Health Care System that they are at risk of infections from improperly processed gastrointestinal endoscopy equipment, according to the September 21 MilitaryTimes. Air Force officials say…

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By: Judy Mathias
September 27, 2016
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Postoperative outcomes significantly improve in VA hospitals

Editor's Note Postoperative outcomes in the Veterans Affairs (VA) health system have consistently improved for the past 15 years, this study finds. In this analysis of nearly 705,000 patients undergoing noncardiac surgical procedures at 143 hospitals, absolute rates and likelihood of complications, mortality, and failure to rescue significantly decreased 40%…

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By: Judy Mathias
September 26, 2016
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Patient identification errors analyzed by ECRI Institute

Editor's Note The ECRI Institute Patient Safety Organization on September 26 released its newest analysis of patient safety errors−a Deep Dive review of reported events involving patient identification. Researchers reviewed more than 7,600 wrong-patient events occurring over a 32-month period that were voluntarily submitted by 181 healthcare organizations. Approximately 9%…

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By: Judy Mathias
September 26, 2016
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Joint Commission updates policy on notification of changes

Editor's Note The Joint Commission on September 21 announced an update of its policy on notification of changes in accredited organizations, which will take effect October 1. Previously, organizations had to notify the Joint Commission within 30 days after a significant change. The new policy requires organizations to provide written…

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By: Judy Mathias
September 26, 2016
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Novel model predicts readmission risk

Editor's Note A novel model by researchers from the Massachusetts General Hospital, Boston, uses natural language processing to predict readmission risk by incorporating physical function, cognitive status, and psychosocial support--three areas that may impact readmission but are poorly captured with structured data sources. The final model had 16 variables, a…

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By: Judy Mathias
September 16, 2016
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