Is it safe to let residents independently perform appendectomies?
Editor's Note Senior surgical residents can safely supervise junior residents performing appendectomies, and training programs should encourage faculty to let senior residents manage operative appendicitis as independently as possible as well as supervise junior residents intraoperatively, this study finds. In this review of 928 appendectomies performed at the University of…
Joint Commission: R3 Report details new standards for perinatal safety
Editor's Note The Joint Commission on August 28 announced the publication of an R3 Report on two new standards designed to improve the quality and safety of perinatal care in accredited hospitals. The standards, which will take effect July 1, 2020, require organizations to examine their processes and procedures for…
How mistakes shape physicians’ perceptions of learning
Editor's Note Using a learning culture perspective that acknowledges blame and responsibility can facilitate learning from mistakes, this Canadian study finds. A total of 19 physicians were interviewed on their experiences in learning from medical errors. Memories of mistakes from residence training stood out, and participants expressed feeling both responsible…
Sentara uses AI-based tool to predict sepsis
Editor's Note Sentara Healthcare (Norfolk, Virginia) is using a sepsis prediction tool to help alert physicians and nurses when a patient is at risk of developing the infection, the August 26 Reading Eagle reports. The tool uses artificial intelligence (AI) to run some 4,500 pieces of patient data through an…
Study: Nurse leader burnout, compassion satisfaction, work-life balance
Editor's Note All levels of nurse leaders are at risk of burnout and must garner compassion satisfaction from different sources, including peer and staff interactions, this study finds. The Professional Quality of Life scale was given to 672 nurse leaders at 29 hospitals in one health system, and 16 leaders…
Machine learning algorithm predicts bleeding during CABG surgery
Editor's Note A machine learning algorithm based on data from the American College of Cardiology’s National Cardiovascular Data Registry accurately identified patients at risk for bleeding during or after coronary artery bypass grafting (CABG) surgery, the August 23 Health IT Analytics reports. Researchers developed the platform using a risk spectrum…
Surgical smoke exposure in OR personnel
Editor's Note This review article finds that surgical smoke is dangerous, but the severity of the risk has yet to be been determined. Therefore, no safe level is known. Though numerous studies have been performed on the chemical composition of surgical smoke, the components remain unclear. The variability is likely…
FDA: Class I recall of Vyaire Medical enFlow fluid warming disposable cartridge
Editor's Note The Food & Drug Administration (FDA) on August 21 identified Medline Industries’ recall of Centurion Medical Products’ Primary Warmer Pack containing the Vyaire Medical enFlow fluid warming system disposable cartridge as Class I, the most serious. The recall was initiated because the cartridge may elute aluminum into infused…
Cardiothoracic surgery patients at high risk for postop opioid dependence
Editor's Note This study finds that the amount of opioids prescribed for patients after cardiothoracic surgery has a direct relationship with the risk for opioid dependence and persistent opioid use several months after surgery. Of nearly 25,000 opioid-naïve Medicare patients analyzed, 15.7% of patients who had lung surgery and 12.5%…
FDA: Class I recall of Edwards Lifesciences SAPIEN 3 Ultra Delivery System
Editor's Note The Food and Drug Administration on August 22 identified the recall by Edwards Lifesciences of all lots of its SAPIEN 3 Ultra Delivery System as Class I, the most serious. The delivery system is part of the Edwards SAPIEN 3 Transcatheter Heart Valve System. The recall was initiated…
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