Study: Outpatient antibiotic management of appendicitis
Editor's Note Managing appendicitis with antibiotics on an outpatient basis shows promise as a safe, effective, lower-cost alternative to surgery, this study finds. Of 30 patients involved in the trial, 15 were randomized to antibiotics and 14 to appendectomy.ย A total of 14 patients in the antibiotic group were discharged from…
FDA Safety Alert on Absorb GT1 Bioresorbable Vascular Scaffold
Editor's Note The Food and Drug Administration (FDA) on March 18 issued a Safety Alert for Abbott Vascularโs (Santa Clara, California) Absorb GT1 Bioresorbable Vascular Scaffold (BVS). The alert was issued to inform healthcare providers of an increased rate of major adverse cardiac events in patients receiving the BVS, when…
Preop frailty screening improves outcomes
Editor's Note Implementation of a frailty screening initiative was associated with reduced mortality in this study. After implementing the initiative in 9,153 surgical patients, overall 30-day mortality for all patients, frail and nonfrail, decreased from 1.6% to 0.7%. Postoperative mortality decreased significantly in frail patients at 30 (12.2% to 3.8%),…
Safety of home discharge after total joint surgery
Editor's Note Patients who live alone can recover effectively and safely at home after total hip arthroplasty (THA) and total knee arthroplasty (TKA), finds this study presented March 14 at the 2017 Annual Meeting of the American Academy of Orthopaedic Surgeons in San Diego. Of 638 patients analyzed (364 THA,…
Automated harm trigger system IDs patients at risk
Editor's Note In this study, an automated harm trigger system developed by the Adventist Health System Patient Safety Organization (Altamonte Springs, Florida) enabled the identification of patients who may have been harmed or at risk for harm. Nurse reviewers analyzed electronic health records of current patients with positive triggers to…
Association between surgeon scorecard and OR costs
Editor's Note Providing surgeons with individualized cost feedback and surgical supply costs was associated with significantly reduced surgical supply costs, without negatively affecting patient outcomes in this study. The study involved 63 surgeons in an intervention group and 186 surgeons in a control group. Surgeons in the intervention group received…
Penn Patient Safety Authority reviews RSI events, guidelines
Editor's Note In this advisory, the Pennsylvania Patient Safety Authority reviews retained surgical item (RSI) events in Pennsylvania hospitals and RSI guidelines from various organizations. Analysis of events reported to the Pennsylvania Patient Safety Authority from 2014 to 2015 reveals 112 RSIs that met the definitions of the National Quality…
Joint Commission: TST for Hand-off Communications helps reduce readmissions
Editor's Note The Joint Commissionโs Targeted Solutions Tool (TST) for Hand-off Communications provides a framework for what the communication process between hospitals and skilled nursing facilities should be to reduce potential patient readmissions, the Joint Commission said in a March 15 news release. โThe TST helps organizations: Facilitate examination of…
OR leader job analysis helps sort out roles, responsibilities
A new tool is available to help OR leaders both develop their careers and prepare their successors to take over when they leave. An OR manager job analysis, released in September 2016, provides an evidence-based approach to building the careers of OR leaders, both novice and experienced. โIt really helps…
What does an OR manager do?
Here is a list of domains, with accompanying knowledge statements for the OR manager role, based on the job analysis conducted by Prometric, a test development and delivery company based in Baltimore. Examples or definitions for several knowledge statements appear in parentheses. Communication and relationship management -Negotiation techniques (win-win, building…