A leading spine journal is casting a critical eye on industry-supported research that has led to widespread use of Medtronic's controversial bone growth product Infuse. The June 2011 issue of Spine Journal carries a strongly worded editorial about the trial designs, reporting bias, and peer review shortfalls that the authors…
Updated infection control practices from the American Society of Anesthesiologists draw on data and national guidelines to inform anesthesia providers of practices shown to alter the incident of health care-associated infections. The recommendations also focus on prevention of occupational transmission of infection in anesthesiologists. The document has not been reviewed…
Every OR has policies and procedures for environmental cleaning. But how do you know surfaces are truly free of pathogens that could transmit infection? The stakes are high. Environmental contamination plays a role in the spread of methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and Clostridium difficile, among others. Evidence…
It started out as a typical Sunday morning on call—a 7:30 am C section, home for a nap, then a call-back at 3 pm for orthopedic cases. But that Sunday, May 22, 2011, turned out to be anything but typical for Staci Perry, a surgical technologist at St John's Regional…
What if in the future nurses and physicians sat down in the same anatomy classes? What if schools offered more joint learning opportunities? That could go a long way toward building the closer collaboration needed to advance the culture of safety. Nurses and physicians learning together could advance safety by…
Working in the OR can be intense and stressful. Music and humor are proven antidotes. A group of nurse anesthetists discovered that when they sang "Breakin' Up is Hard to Do" at a Christmas party at the Minneapolis School of Anesthesia in 1990. One of the students came up and…
Observation can sometimes give you an idea about how well the staff is complying with OR cleaning protocols, but it can't tell you about organic residues that might remain on surfaces. Bacterial cultures of the OR environment can also have drawbacks. To evaluate the effectiveness of its cleaning, a Connecticut…
Meaningful use is a much-used term in the push for electronic health records (EHRs). Eligible hospitals, critical access hospitals, and physicians can earn federal incentives for adopting and demonstrating "meaningful use" of certified EHR technology (sidebar). Your hospital's meaningful use discussions may be taking place away from the OR. But…