Tag: Preoperative Care

What does it take to become an ERAS hospital?

Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…

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By: Paula Spencer, MSHA, PMP, CPHIMS
August 21, 2020
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Delays in breast cancer surgery because of COVID-19 do not appear to be life-threatening

Editor's Note A longer time from diagnosis to surgical treatment because of the COVID-19 pandemic did not lower overall survival of women with early-stage breast cancer, this study finds. In this analysis of 379,000 patients, surgical delays of more than 120 days were associated with change to a higher cancer…

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By: Judy Mathias
August 10, 2020
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Culture, communication, and clinical skills essential for ERAS success

Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery (ERAS) program can help achieve these aims in the surgical population. ERAS pathways have been found to reduce morbidity, hospital stay,…

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By: OR Manager
July 22, 2020
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Preoperative protocols enhance outpatient total joint outcomes

On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…

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By: Catherine Spader, RN
July 22, 2020
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Panel issues guidelines for safe resumption of elective orthopedic surgery

Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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By: Judy Mathias
July 20, 2020
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Survey finds patient fears may limit return to surgery

Editor's Note As hospitals begin ramping up elective surgical procedures, healthcare leaders face significant challenges, the June 23 Becker’s Hospital Review reports. A market research survey by Lumeon (Boston) found that the top operational concern for healthcare leaders is making sure patients feel safe to schedule and come into hospitals…

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By: Judy Mathias
June 23, 2020
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ACS releases new resources to help prepare patients for surgery delayed by COVID-19

Editor's Note The American College of Surgeons on June 3 released new resources to help surgeons and hospitals address patients’ concerns about having surgical procedures that were delayed by COVID-19. The document, “Preparing to have surgery during the time of COVID-19,” includes a patient-surgeon discussion guide with suggested questions patients…

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By: Judy Mathias
June 4, 2020
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Incidence of COVID-19 in pediatric surgical patients

Editor's Note The overall incidence of COVID-19 in children who had preoperative screening was less than 1%; however, this varied greatly between regions, ranging from 0.22% to 2.65%. Included in the study were pediatric patients presenting for surgery at Children’s Hospital of Philadelphia, Texas Children’s Hospital in Houston, and Seattle…

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By: Judy Mathias
June 4, 2020
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Joint Commission: Preventing nosocomial COVID-19 infections as healthcare organizations resume routine care

Editor's Note The Joint Commission on June 3 announced that it supports the following positions for healthcare organizations to prevent nosocomial COVID-19 infections as they resume routine patient care. Organizations should continue to follow CDC recommendations for universal masking of staff, patients, and visitors. Personnel should wear filtering facepiece (N95)…

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By: Judy Mathias
June 4, 2020
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OR leaders chart new territory for resuming elective surgery

Elective surgical procedures that were temporarily suspended in mid-March are now on the table—or soon will be—at some US facilities. The ban, announced on March 18 by the Centers for Medicare & Medicaid Services (CMS), was enacted to free up resources for facilities overwhelmed by surges of COVID-19 patients. On…

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By: Elizabeth Wood
May 12, 2020
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