Tag: Surgical Site

SHEA: Strategies to prevent SSIs updated

Editor's Note The Society for Healthcare Epidemiology of America (SHEA) has updated the Strategies to Prevent Surgical Site Infection in Acute Care Hospitals, which was published in 2014. The update highlights practical recommendations designed to assist acute-care hospitals in implementing and prioritizing their surgical site infection (SSI) prevention efforts. Among…

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By: Judy Mathias
May 26, 2023
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Effect of COVID-19 precautions on postop SSIs

Editor's Note This study from the Mayo Clinic finds that perioperative COVID-19 precautions did not significantly reduce the risk of surgical site infections (SSIs). The analysis included 29,904 patients who had colorectal, hysterectomy, hip, and knee prosthesis procedures at the Mayo Clinic’s multicenter institution between January 1, 2018 and December…

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By: Judy Mathias
May 22, 2023
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Mid-term postop outcomes in patients with, without COVID-19

Editor's Note This study from the University of Maryland School of Medicine and Veterans Affairs Medical Center, Baltimore, finds that COVID-19 is associated with decreased overall and complication-free survival, primarily in the early postoperative period. Of 153,741 surgical patients analyzed between March 2020 and 2021, 4,778 COVID-19-positive patients were matched…

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By: Judy Mathias
May 12, 2023
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SHEA: New SSI guidance recommends antibiotics be discontinued after incision is closed

Editor's Note This update to the 2014 "Strategies to Prevent Surgical Site Infections in Acute Care Hospitals" recommends that antibiotics be discontinued after a patient’s incision has been closed in the OR, even if drains are present. The expert panel members writing the update add that continuing antibiotics after closure…

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By: Judy Mathias
May 4, 2023
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SSI trends in community hospitals

Editor's Note In this study, researchers from the Duke Infection Control Outreach Network Surveillance Team, Duke University School of Medicine,  Durham, North Carolina, find that surgical site infection (SSI) rates did not decrease in community hospitals from 2013 to 2018. SSI data was collected from patients having 26 common surgical…

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By: Judy Mathias
April 13, 2023
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Pediatric SSIs after ambulatory surgery

Editor's Note This study led by researchers at Children’s Hospital at Montefiore, Bronx, New York, finds that morbidity is also associated with surgical site infections (SSIs) after ambulatory surgery in children. Of 65,056 patients analyzed and 13, 795 chart reviews, 45 SSIs were identified after pediatric ambulatory surgery. The weighted…

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By: Judy Mathias
August 3, 2022
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New machine learning models predict adverse postop abdominal hernia surgery outcomes

Editor's Note Machine learning (ML) models designed by surgeons at the University of Texas MD Anderson Cancer Center in Houston show a high level of accuracy in predicting which types of patients are most likely to have a hernia recurrence or other complications after surgery in this study. Of 725…

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By: Judy Mathias
April 12, 2022
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Johns Hopkins robot performs first laparoscopic intestinal anastomosis without human help

Editor's Note The Smart Tissue Autonomous Robot (STAR), designed by a team of researchers at Johns Hopkins University, has performed laparoscopic intestinal anastomoses in four experiments on pig tissue without human help. The robot outperformed surgeons using manual-laparoscopic and robot-assisted surgical techniques in the consistency of suture spacing and bite…

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By: Judy Mathias
January 31, 2022
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Raising awareness of “Near-Miss,” retained surgical sharps

In 2018, Sam Weprin, MD, started his first year of residency in Urology. During one of his first prostatectomy cases, he witnessed an impeccable surgery performed by the attending surgeon. Unfortunately, a surgical needle went missing inside the patient. The surgeon and her team spent an hour searching for it,…

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By: Ivy Montgomery
November 17, 2021
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The Joint Commission releases 2020 sentinel event statistics

Editor's Note The Joint Commission, on March 24, released its sentinel event statistics for 2020, which totaled 794. The top five most frequently reported events were: Falls: 170 Unintended retention of a foreign object: 106 Suicide: 81 Delay in treatment: 76 Wrong-site surgery: 68. The Joint Commission’s Office of Quality…

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By: Judy Mathias
March 25, 2021
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