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,…
Excellence in staff and patient safety using standardization
Last month, OR leaders convened for the 2021 OR Manager Conference in Chicago. The last 18 months have radically transformed healthcare delivery in the US, but many of the underlying challenges faced by hospitals and health systems before the pandemic remain unchanged. Despite the impact of COVID-19, attendees still grappled…
Block time strategies help maximize robot utilization, service line
Improving patient outcomes and providing a superior experience for patients were at the forefront of the decision to grow the robotics service line at Northeast Georgia Medical Center (NGMC), Gainesville. Expanding from one da Vinci S system by Intuitive and six robotics surgeons covering five specialties in 2008 to four…
Quality monitoring for decontamination process
The foundation of sterilization is cleaning. How can we be sure that the mechanical cleaning equipment being used is producing clean medical devices? There are methods available to verify that the mechanical equipment used to clean medical devices is functioning appropriately. ANSI/AAMI ST79:2017 Comprehensive guide to steam sterilization and sterility…
Patient safety and the “Internet of Medical Things (IoMT)”
With all of the advantages that come from electronic health records and connected devices, some distinct security risks also exist. Healthcare is seeing these risks grow in the form of ransomware, phishing attacks, and cybersecurity breaches. Healthcare has become one of the industries most vulnerable to cyberattacks, and one with…
Lay groundwork for strong start to new year with quick win in OR efficiency
The new year is just around the corner, and it will bring new challenges for OR leaders as well as fresh opportunities to improve clinical, financial, and operational performance. The typical surgery department is a โtarget-rich environmentโ: low utilization, long turnover times, inefficient charge capture, poor documentation, high supply costs,…
Long COVID-19 symptoms may have other causes
Editor's Note This study from France finds that persistent physical symptoms after COVID-19 infection should not be automatically ascribed to the SARS-CoV-2 virus. In this analysis of 26,823 adults, persistent physical symptoms (eg, fatigue, breathlessness, impaired attention, hearing impairment, sleep problems, anosmia) were reported by adults who said they believed…
Study: COVID-19 patients on SSRI antidepressants less likely to die
Editor's Note This study from the University of California San Francisco-Stanford finds that COVID-19 patients taking SSRI antidepressants, particularly fluoxetine, were significantly less likely to die from the disease. The research team analyzed electronic health records (EHRs) from 87 healthcare centers across the US. Of 83,584 adult patients diagnosed with…
Sleep disorders linked to more severe COVID-19 outcomes
Editor's Note In this study, Cleveland Clinic researchers find that patients with certain sleep disorders have more severe outcomes from COVID-19. The analysis included 5,402 patients. Although patients with sleep-disordered breathing and sleep-related hypoxia did not have an increased risk of developing COVID-19, they had a worse clinical prognosis from…
Cleveland Clinic mandates COVID-19 vaccinations for US employees
Editor's Note Cleveland Clinic, on November 12, announced that it is requiring all US employees and those who provide services with Cleveland Clinic to receive the COVID-19 vaccine by January 4, 2022. In accordance with federal mandates from the Centers for Medicare & Medicaid Services, employees who are not fully…