Tag: Quality Improvement

Pilot project takeoff proves promise of AI staff optimization

Perioperative leaders face mounting pressures to optimize resources, reduce costs, and improve patient outcomes. However, one challenge stands out among the rest: OR staffing shortages. According to a November/December survey conducted by LeanTaaS in collaboration with OR Manager, staff recruitment and retention is a top priority for OR leaders this…

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By: Stacey Leadbeater
August 28, 2024
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Studies highlight success strategies for combatting handoff communication failure, care inequity

Editor's Note Recent research sheds new light on addressing two of the most pressing problems for surgical care: handoff communication failures and care bias and inequities leading to adverse—and preventable—events.   These problems are the subjects of two separate success stories in the August issue of The Joint Commission Journal…

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By: Matt Danford
August 23, 2024
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Immunotherapy’s FDA approval expected to improve lung cancer treatment

Editor's Note The US Food & Drug Administration (FDA) has approved immunotherapy durvalumab for perioperative treatment of resectable non-small cell lung cancer (NSCLC), according to an August 15 announcement. The approval is for durvalumab (Imfinzi, AstraZeneca) in combination with platinum-based chemotherapy as a neoadjuvant treatment, followed by durvalumab alone as…

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By: Matt Danford
August 22, 2024
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Study reveals low rate of unplanned hospital admissions after ambulatory surgery

Editor's Note A recent study, published by Perioperative Medicine on August 13 and conducted at a large US academic tertiary care ambulatory surgery center (ASC), found the incidence of unplanned hospital admissions within 24 hours after a procedure performed at an ASC is “exceptionally” low. The research, which analyzed data…

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By: Tarsilla Moura
August 21, 2024
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Antibiotics gaining acceptance as potential alternative to pediatric appendectomy

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Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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By: Matt Danford
August 21, 2024
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Study reveals how OR ventilation, patient positioning impact surgical site infection risk

Editor's Note Optimizing patient positioning can help reduce the risk of surgical site infections due to airborne contaminants in positive-pressure ORs, according to a study published August 12 in Nature: Scientific Reports. Maintaining higher pressure than adjacent spaces prevents entry of contaminants from environments external to the OR. For this…

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By: Matt Danford
August 12, 2024
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Study: Debriefing documentation improves OR communication

Editor's Note A study published August 6 in the journal Surgery highlights the impact of structured debriefing tools on improving communication and patient safety in the OR during the COVID-19 pandemic. Conducted over three years, the study implemented a new electronic health record (EHR) module to document surgical debriefings and…

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By: Matt Danford
August 8, 2024
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CMS hospital ratings show performance decline in 2024

Editor's Note Hospital performance declined this year compared to last, with more than 60% earning three stars or less in 2024 hospital star ratings from The Centers for Medicare and Medicaid Services (CMS). “This decline might be partly due to the data covering the period from April 2019 to March…

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By: Matt Danford
August 7, 2024
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EHR ‘nudge’ reduces unnecessary axillary surgery in older breast cancer patients

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Editor's Note An electronic health record (EHR)-based nudge could significantly reduce low-value axillary surgeries in older women with early-stage breast cancer, researchers reported July 17 in JAMA Surgery. Conducted across eight clinical settings, the initiative significantly cut the rates of low-value sentinel lymph node biopsies (SLNB) by nearly 50% over…

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By: Matt Danford
August 5, 2024
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Unpacking the impact of private investment on innovation, ASCs

One privilege of living at this time in history is the availability of choice, especially for health and surgical needs. Those who make healthcare their business understand this as well. According to Tanna et al, ambulatory surgery centers (ASCs) are spreading to rural areas, hospitals are creating hybrid outpatient surgery…

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By: Dr Rosemary Babeaux, DNP, RN, NE-BC, EBP (CH)
July 31, 2024
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