FDA considering additional regulatory actions to reduce duodenoscope risks
Editor's Note The Food & Drug Administration on April 16 announced it is considering additional regulatory actions, including consulting with federal health experts for guidance, to reduce the risks of contamination and infections associated with duodenoscopes. The FDA is also working with manufacturers of disposable duodenoscopes that would make reprocessing…
Preop functional status predicts total hip outcomes
Editor's Note Compared with preoperative independent functional status, preoperative dependent functional status was independently associated with worse outcomes after primary total hip arthroplasty in this study. Of 43,179 patients analyzed, those who were less able to care for themselves: were 2 to 3 times more likely to have surgical complications…
FDA announces new efforts to protect patients from risks associated with surgical staplers, implantable staples
Editor's Note The Food & Drug Administration on April 23 announced new steps it will be taking to help reduce risks associated with surgical staplers for internal use and implantable staples. The proposed steps include: Reclassifyingย surgical staplers from Class I (low risk) to Class II (moderate risk). Issuing guidance to…
Study: CMS policy changes cut readmission fines
Editor's Note The Centers for Medicare & Medicaid Services (CMS) recent changes to its Hospital Readmission Reduction Program resulted in a drop in readmission fines for academic, safety-net, and rural hospitals, this study finds. This analysis of 3,049 hospitals found that because of policy changes that now separate hospitals into…
FDA orders manufacturers to stop selling gynecologic mesh
Editor's Note The Food and Drug Administration (FDA) on April 16 announced that it had ordered manufacturers of surgical mesh products indicated for transvaginal repair of pelvic organ prolapse to stop selling and distributing their products in the US, immediately. The FDA has determined that manufacturers, Boston Scientific and Coloplast,…
How will artificial intelligence impact surgical patient care? Part 1
Artificial intelligence (AI) may be coming to your OR sooner than you think. AI is already being used to identify areas needing quality improvement by analyzing surgical workflow, communication patterns, and errors that went unnoticed during a procedure. OR leaders need to understand AI and participate in its development and…
Imagining the unimaginable: Preparing for mass casualty
The Centers for Medicare & Medicaid Services (CMS) and the Joint Commission require healthcare facilities to have policies and protocols in place for emergency situations and to hold regular practice drills. With natural disasters like hurricanes, floods, or fires, often there is at least some warningโsome amount of time to…
Editorial
Artificial intelligence (AI) seems to pop up in headlines nearly every day. With applications ranging from individual nutritional guidance to prediction of premature death, ever-evolving computer-based algorithms present intriguing possibilities for the future of healthcare. Depending on how proactive your facility is and how rich in resources, you may already…
Conference keynote puts compassion at the heart of patient care
Compassion fatigue can come into play at any stage of nursesโ careers. Nursing is growing at a faster rate than other occupations, but it carries a high risk for burnout. Loss of job satisfaction, job-related distress, or perhaps exposure to too many traumatic events can threaten the ability of staff…
Expect the unexpected: How we recovered operations after Hurricane Harvey
Whatever your facilityโs disaster management plan, it needs continual refinement to account for the differences between imagined and real scenarios. Hurricane Harvey, which hit Houston hard on Saturday, August 26, 2017, is a case in point. The storm brought more than 60 inches of rain within a couple of days,…