Hospitals with better nursing work environments and above-average staffing levels were associated with better surgical value (ie, lower mortality with similar costs) in this study, especially for higher-risk patients. Past studies have shown that hospitals with better nursing work environments provide better quality of care, but less is known about…

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Surgeons often complain that their physician preference cards (PPCs) are not current, and keeping on top of the situation can be a struggle. Yet having accurate information on these cards greatly enhances both efficiency and patient safety, say surgical services leaders who have overhauled their systems. In this article, experts…

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High reliability has now permeated the healthcare literature, but some clinicians are still unsure exactly what it means. A simple definition offered by Coleen Smith, MBA, RN, CPHQ, director of High Reliability Initiatives for the Joint Commission Center for Transforming Healthcare, is “excellence in patient care for every patient, every…

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Editor's Note Patients treated at hospitals located in competitive regional markets were more likely to have robotic-assisted surgical procedures, this study finds. However, when the analysis was limited just to hospitals that performed robotic-assisted surgery, competition was no longer associated with the use of robotic technology. In addition, hospital financial status had…

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Editor's Note The Society of Gastroenterology Nurses and Associates (SGNA) has released two new standards focused on infection prevention. The revised “Standards of Infection Prevention in Reprocessing of Flexible Gastrointestinal Endoscopes” details nine steps for successful reprocessing. The previous standard had eight steps—visual inspection used to be included with manual…

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Editor's Note The Joint Commission on February 11 published it’s latest Quick Safety newsletter, which focuses on informed consent. Implementing an effective informed consent process poses numerous challenges, and frequently patients do not understand the risks, benefits, and alternatives involved in their treatment or surgical procedures, the Joint Commission says.…

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Editor's Note In this study, researchers found microorganisms with the potential to cause infections being injected into patients during administration of drugs by anesthesiologists during surgical procedures. The study included 23 anesthesiologists, each anesthetizing up to 25 patients. The anesthesiologists were asked to inject all bolus drugs, except propofol and…

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Editor's Note Gastric bypass surgery was associated with improved long-term survival for patients aged 35 years and older in this study. In the analysis of nearly 16,000 patients—8,000 who had gastric bypass surgery and 8,000 who did not have surgery—researchers found mortality benefits varied by age. Those who were: younger…

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Editor's Note This study from the UK found that a patient-to-nurse ratio of no more than six patients per nurse on medical wards was associated with 20% lower patient mortality than when each nurse was responsible for at least 10 patients. Results also showed a 17% reduction in mortality with…

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Editor's Note Pneumonia, cardiovascular, and surgery patients whose treatments were entered into a fully electronic health record (EHR) were between 17% and 30% less likely to experience in-hospital adverse events, this study finds. Among the findings: Pneumonia patients had 35% lower odds of adverse drug events, 34% lower odds of…

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