Tool assesses SSI risk in spine patients
A new tool that assesses postoperative surgical site infection (SSI) risk in spine patients shows promise for improved patient care. Research on the tool, developed by a nurse, is still ongoing, but early results suggest the tool could help clinicians develop strategies to prevent many SSIs. Postoperative SSI rates for…
NIH announces initiative to reduce disparities in surgical outcomes
Editor's Note The National Institutes of Health (NIH) on April 18 announced an initiative to support research to better understand and address disparities in surgical care and outcomes for disadvantaged populations. The new program will involve collaboration among several NIH institutes and centers along with the Agency for Healthcare Research…
Healthcare organizations urge Congress to save AHRQ
Editor's Note Almost 200 healthcare organizations sent letters to Congress urging members to restore funding for the Agency for Healthcare Research and Quality (AHRQ). The House Appropriations Committee in June voted to eliminate the research agency, and the Senate Appropriations Committee proposed a 35% cut to AHRQ’s budget. The letters…
Researchers identify ways to reduce UTI rates
Three new studies on reducing urinary tract infections (UTIs) were reported at the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) conference in July. Researchers identified several process changes that, once implemented, brought down infection rates. Each study and its findings are described below. The S.T.O.P.…
UTIs reduced by focusing on catheter use in the OR
Editor's Note Surgical teams at Northwesterm Memorial Hospital in Chicago are decreasing the rate of urinary tract infections by focusing on the use of catheters before and immediately after surgical procedures. A process improvement program reduced the number of UTIs associated with catheters placed in patients in the OR from…
Nurses key to Kaiser Permanente quality
Editor's Note New research from the University of Pennsylvania School of Nursing shows patient and nurse outcomes in Kaiser Permanente hospitals were significantly better than other hospitals. Differences in nursing explained a significant proportion of Kaiser’s outcomes advantages. The researchers found that Kaiser hospitals have significantly better nurse work environments,…
Researchers develop world's most sensitive test for superbugs
Editor's Note A diagnostic tool developed by researchers at McMaster University, Hamilton, Ontario, can detect the smallest traces of compounds that signal the presence of an infectious disease, such as C difficile, MRSA, hepatitis C, and other superbugs. The test has the best sensitivity ever reported for a detection system.…
Surgical patients warmed with forced air still experience hypothermia
Even in patients actively warmed with forced air during surgery, hypothermia is routine during the first hour of anesthesia, a new study finds. Intraoperative core hypothermia causes complications such as coagulopathy, surgical site infections, and possibly myocardial complications. It also decreases drug metabolism, prolongs recovery, and causes thermal discomfort. Warming…
Study sheds new light on natural history of RSIs
Most retained surgical items (RSIs) involve team/system errors and more than two safety omissions or variances, which supports the need for institutional emphasis on team training, finds a study led by S. Peter Stawicki, MD, Ohio State University College of Medicine, Columbus. Though RSIs feature prominently among surgical “never events,”…
Robotic surgery complications underreported
Robotic surgery has been widely adopted by hospitals during the past decade, but its safety is still unclear because of a haphazard system for reporting complications, Johns Hopkins researchers say. A new study led by Martin Makary, MD, finds that of 1 million robotic procedures performed since 2000, only 245…
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