Editor's Note The Association for the Advancement of Medical Instrumentation (AAMI) Foundation has released a compendium to help healthcare organization meet the Joint Commission’s National Patient Safety Goal (NPSG) on clinical alarms. The compendium provides specific tips and outlines practices in use by leading institutions. Beginning January 1, 2016, the…

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Editor's Note Sterilized wrapped instrument trays demonstrated significantly greater protection than sterilized rigid containers against the ingress of airborne bacteria in this study. Of 111 rigid containers tested, 97 failed to maintain barrier performance, allowing bacterial ingress, while 0 of 161 wrapped trays had detectable contamination. Contamination rates of rigid…

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Editor's Note The Department of Health and Human Services on December 1 reported that the rate of hospital-acquired conditions (HACs) dropped 17% from 2010 to 2014. The decline in HACs resulted in approximately 87,000 fewer in-hospital deaths and a savings in health care costs of approximately $19.8 billion. Among the…

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Editor's Note The Joint Commission on December 2 launched two new resources to help healthcare providers reduce readmissions and improve the discharge process. The resources include a new “Speak Up” campaign to “Avoid a Return Trip to the Hospital,” and a “Quick Safety” newsletter. “Speak Up” includes an infographic, animated…

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Editor's Note Appropriate nurse staffing is associated with improved quality of care and patient outcomes. This is the conclusion of a new white paper by the American Nurses Association and Washington, DC-based consulting firm Avalere, in collaboration with nurses and policy experts. The white paper is the first in a…

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Editor's Note Patients at Veterans Affairs hospitals who developed postoperative Clostridium difficile infections had a five times higher risk of mortality and a twelve times higher risk of morbidity in this study. This analysis of nearly 500,000 surgical procedures found that out of more than 1,800 patients who developed C…

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Editor's Note Boston Scientific Corporation is recalling RotaWire Elite core wires because they may crack and separate from the rest of the Rotablator Rotational Atherectomy System and cause serious injury such as tamponade, myocardial infarction, and migration of wire fragments, the Food and Drug Administration reported November 27. Boston Scientific…

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Editor's Note The Joint Commission summarizes sentinel event-related data reported from accredited organizations quarterly and annually. The data (from 2004 through 3Q 2015) demonstrate the need for the Joint Commission and accredited healthcare organizations to continue to address these serious adverse events, the Joint Commission says. Surgery-related events in the…

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Editor's Note In this study, patients with psychiatric disorders (PsDs) requiring psychopharmacological treatments had an increase in postoperative morbidity after fast-track total hip and total knee arthroplasties, regardless of treatment type and preoperative comorbidities. Among PsD patients: Pain, postoperative anemia, and pulmonary complications were the most frequent causes of length…

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Editor's Note This analysis of data from the National Anesthesia Clinical Outcomes Registry found several factors independently associated with increased perioperative mortality (within 48 hours of anesthesia induction): Increasing American Society of Anesthesiologists physical status Emergency case status Cases beginning between 4:00 pm and 6:59 am Patient age less than…

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