Editor's Note In this study, researchers from Yale-New Haven Hospital, New Haven, Connecticut, calculated a risk-adjusted outcomes measure of outpatient colonoscopy, which shows important variation in quality among outpatient facilities. The outcomes measure profiles outpatient facility quality by examining rates of unplanned hospital visits in the 7 days after colonoscopy.…

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How can OR managers better prepare staff to handle crisis situations? How can they encourage teamwork? Increasingly, OR leaders are turning to simulation to answer those questions.   OR leaders who think they can’t afford a high-fidelity manikin (one that talks and exhibits physiologic changes) and state-of-the-art simulation lab might…

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Part 1 of this two-part series, published in the January issue of OR Manager, discussed the concepts of professional peer review (PPR). In this article, experts from University Medical Center (UMC) in Lubbock, Texas, and Boston Medical Center share strategies for implementing the process.   Staff involvement Once staff understand…

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OR Manager and ECRI Institute have joined in a collaboration to bring OR Manager readers periodic articles on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care.   Every year, hospitals…

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Editor's Note The Food and Drug Administration (FDA)  on January 15 cleared the Olympus TJF-Q180V duodenoscope with design and label modifications intended to reduce the risk of bacterial infections. The new design of the elevator channel sealing mechanism creates a tighter seal and reduces the potential for leakage of fluids…

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Editor's Note Overall US spending on healthcare grew 5.3%, and per-capita spending grew 4.5% in 2014, the Centers for Medicare & Medicaid reports. The share of gross domestic product allotted to healthcare spending was 17.5%, up from 17.3% in 2013. The increase in spending was primarily driven by coverage expansion…

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Editor's Note Inadequate cleaning of flexible endoscopes is first on the ECRI Institute’s annual Top 10 Health Technology Hazards list for 2016. Failure to effectively monitor postoperative patients for opioid-induced respiratory depression is third, and insufficient training of clinicians on OR technologies is fifth. ECRI Institute releases the Top 10…

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Editor's Note The Food and Drug Administration on October 5 ordered three manufacturers of duodenoscopes marketed in the US to study the reprocessing of their devices in the clinical setting where they are used. The three manufacturers—Olympus America, Inc; Fujifilm Medical Systems, USA, Inc; and Hoya Corp (Pentax Life Care…

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Editor's Note An aspect of “never events”that is rarely discussed is the emotional toll they take on staff, according to this editorial. In each case, staff experience an enormous amount of emotional trauma, and a significant amount of accusation and stigmatization occurs. It is not enough to prevent and manage…

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Concerted efforts to reduce readmissions have paid off at Inova Fairfax Hospital in Falls Church, Virginia. Among its bragging rights since launching an initiative last year: decreased length of stay for colorectal surgery patients and a downward trend in readmissions. To learn how they did it, OR Manager spoke with…

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