Careful planning essential when expanding outpatient surgery repertoire
The decision to add a new procedure in an ambulatory surgery center (ASC) is a matter of weighing risks and opportunities. A long list of variables must be analyzed and compared. Is the prospect of higher profit worth the investment that will be required in staff and equipment? Is our…
New policies and practices suggested for avoiding RSIs
Studies have estimated the incidence of retained surgical items (RSIs) as one in 5,500 to one in 6,975 cases. In October 2013, The Joint Commission issued a Sentinel Event Alert on RSIs, and periodic reports in the media have raised the public’s awareness of this persistent problem. Effective policies, reliable…
EASE app updates families on patients' progress during surgery
As the anesthesiologist places the mask on the little girl’s face, the circulating nurse snaps a photograph and sends it to her parents’ cell phone with a caption saying, “she is safely off to sleep.” The nurse continues to send photographs and videos of the girl’s heart procedure along with…
Reducing emergency surgical procedures could save $1 billion
New research shows that even a modest 10% reduction in the proportion of emergency surgical procedures for three common conditions could save nearly $1 billion over 10 years. The study also showed significantly lower rates of mortality and better outcomes among patients who had these procedures on an elective basis.…
New curriculum aims to reduce hazards of energy devices in the OR
When it comes to patient safety in the OR, the risk of fire or other damage caused by surgical instruments is an area that deserves greater attention. Professional medical societies concerned about such risks have developed a multidisciplinary curriculum that addresses appropriate and safe use of energy devices in surgery…
FDA, Joint Commission cite safety concerns with power morcellation
Reports about problems associated with power morcellation in gynecologic surgery led to safety warnings in November 2014 by the Food and Drug Administration (FDA) and the Joint Commission. The FDA on November 24 updated its Safety Communication on the use of laparoscopic power morcellation in hysterectomies and myomectomies. The previous…
Reusable protective eyewear tied to greater risk of contamination
Protective eyewear is supposed to prevent infectious materials from reaching the eyes of OR staff, but recent research has revealed a link between reusable protective eyewear and an increased risk of cross contamination and infection. “We found that the protective eyewear itself can be a causal factor in ongoing contamination,”…
No time to waste: A children's hospital Lean team streamlines its turnover process
Children’s Hospital of Los Angeles (CHLA) is renowned for patient care, but by early 2013 the increased complexity of new technology and other factors had eroded efficiency. Orthopedics had fallen to the bottom quartile compared to national benchmarks for turnover times, and executive leadership called for change. Within orthopedic surgery,…
Getting all OR staff to buy into debriefing process boosts efficacy
The main distinction between good and bad debriefings comes down to the level of staff engagement. That’s what the surgical team at the University of Colorado Hospital, Aurora, learned during a project designed to improve the quality of the 30- to 60-second conversations held after surgery. “In a good debriefing,…
Editorial
More than 2,600 hospitals in fiscal year 2015 are facing Medicare readmission penalties, to the tune of an estimated $428 million, a recent Kaiser Health News report indicates. Among these, 39 hospitals—including some specialty surgical hospitals, small community hospitals, and a major teaching facility—will lose the maximum 3% of their…
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