AGA, CDC, Joint Commission collaborate on patient safety project
Our TakeThe American Gastroenterological Association (AGA) announced May 4 that it has been selected by the Centers for Disease Control and Prevention (CDC), and Joint Commission for a new project to prevent patients from acquiring healthcare associated infections during outpatient care. The 3-year project referred to as “ADOPT (Adaptation and…
Editorial
Healthcare, business, and political leaders convened at the World Healthcare Congress in Washington, DC, in April to discuss payment, regulatory reforms, new technology, and evolving models of patient care. During the Nurse Leadership Summit portion of the conference, a session on population health management was noteworthy. Panel members discussed transitional…
Simulation can be an affordable tool for improving care
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…
OR team uses evidence-based practices to reduce readmissions
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…
Duodenoscopes and CRE--Reducing the risks
In the dangerous world of hospital-acquired infections, carbapenem-resistant Enterobacteriaceae (CRE) patient infections associated with the use of duodenoscopes has proven to be a substantial concern for healthcare facilities and patients. Several large-scale outbreaks in the last year have prompted questions about the safety of endoscopic retrograde cholangiopancreatography (ERCP) endoscopy procedures,…
At A Glance
Distractions detract from OR teamwork Distractions in the OR are associated with higher mental workload and stress and poorer teamwork among OR personnel, a study finds. The most prevalent distractions were those from external staff, followed by case-irrelevant conversations. Case-irrelevant conversations initiated by surgeons were associated with lower teamwork in…
Are guidelines needed for cell phones in the OR?
Editor's Note There are no federal regulations or quality measures that address cell phone use in the OR, but some say the time for clear-cut guidelines has come. They cite errors and lax safety procedures that have resulted from physicians and nurses distracted by cell phone use. But others point…
Readmission destination and risk of mortality after major surgery: an observational cohort study
Patients who are readmitted after major surgical procedures have improved survival if they return to the same hospital where their surgery took place, finds a study. Readmission to the index hospital was associated with a 26% lower 90-day mortality risk than readmission to a non-index hospital. These findings may have…
Compliance with Surgical Care Improvement Project for Body Temperature Management (SCIP Inf-10) Is Associated with Improved Clinical Outcomes
Background: In an effort to measure and improve the quality of perioperative care, the Surgical Care Improvement Project (SCIP) was introduced in 2003. Methods: The authors retrospectively analyzed the electronic medical record data from 45,304 inpatients at a single institution to assess whether compliance with SCIP Inf-10 (body temperature management)…
November at a Glance
Much work needed to make hospitals highly reliable To achieve a goal of zero patient harm, hospitals must adopt lessons from high-risk industries, finds a Joint Commission report. The authors say hospital leadership must • commit to the goal of zero patient harm rather than viewing it as unrealistic •…
