CDC: Patients with underlying conditions 12 times as likely to die from COVID-19
Editor's Note Patients with underling conditions, such as heart disease, chronic lung disease, and diabetes were hospitalized six times as often and died 12 times as often from COVID-19 as those without underlying conditions, the Centers for Disease Control and Infection (CDC) reports. Severe outcomes increased with age—the percentages of…
Cleveland Clinic develops COVID-19 risk calculator
Editor's Note The Cleveland Clinic announced June 15 that its researchers have developed the world’s first model to predict the likelihood of patients testing positive for COVID-19 and their outcomes from the disease. The model was based on data from nearly 12,000 patients in the Cleveland Clinic’s COVID-19 Registry, including…
Coordinated COVID-19 response helped ‘flatten the curve’ in Washington State
Editor's Note A regional, coalition-guided, multifaceted approach that engaged healthcare systems, long-term care facilities, state and local governments, and organizations to rapidly respond to the COVID-19 outbreak, kept Washington State’s death rate the lowest of all states with major outbreaks, this study finds. Six key factors helped “flatten the curve:”…
Dexamethasone reduces COVID-19 deaths by one-third
Editor's Note In preliminary results of this study from the University of Oxford, UK, a low-cost steroid, dexamethasone, reduced deaths by up to one third in hospitalized patients with severe respiratory complications of COVID-19. A total of 2,104 patients were randomized to receive dexamethasone 6 mg once per day for…
Different timetables, similar challenges seen in elective surgical caseloads
Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…
Defining 'wants' vs 'needs' drives success of instrument standardization
Hospitals nationwide have thousands of unique instrument trays that take up valuable space on their shelves. Many trays are cluttered with rarely used instruments that are there “just in case.” The problem can be particularly acute in large health systems. Across Cleveland Clinic’s multiple locations in northeast Ohio, for example,…
Editorial
Editor’s note: This editorial is by Judy Mathias, OR Manager’s clinical editor. It is adapted from remarks made in a webinar presented by DLA Piper in partnership with the Cohen Group, titled, “Looking forward: COVID-19 and its implications for global business and international cooperation.” The speakers were General James Mattis,…
Taming bullies requires courage, commitment, and consistent effort
Bullying and incivility have long been pervasive in healthcare, particularly in nursing. Additional stressors related to COVID-19 have worsened things in many facilities. “When there’s a crisis, we see the best in people and the worst,” says Renee Thompson, DNP, RN, CSP. “On social media, we’re seeing a lot of…
Agile, data-driven strategy for managing the OR after COVID-19
As state authorities begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge: resuming elective surgical procedures that have been postponed for several weeks or months. How will they accommodate the looming glut of elective surgery demand with limited infrastructure and staff who are…
Pre-COVID initiatives pave way for successful crisis management
Proactive leadership, early preparation, and ongoing planning and communication have helped mitigate COVID-19 threats at Tampa General Hospital in Tampa, Florida. As a result, resuming elective surgical cases in early May was a relatively seamless process thanks to process improvements made before the pandemic hit. “We started working on COVID-19…