In 2017, the Joint Commission issued a Sentinel Alert Event on the problem of inadequate handoff communication, focusing attention on this vital aspect of care. (See related story, p 22.) Clinicians and leaders agree that handoffs are important, but implementing them effectively can be challenging, particularly in the fast-paced perioperative…

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Enhanced Recovery After Surgery The implementation of Enhanced Recovery After Surgery (ERAS) is based on the concept of organizing care around the patient, addressing medical condition needs to optimize readiness for surgery and reducing the likelihood of postoperative complications. Efficacy is measured by how well we perform according to these…

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Editor's Note In this study from New York University Rory Meyers College of Nursing, nurses were found to sleep nearly an hour and a half less before work days than before days off, affecting patient care and safety. Using data from two surveys of 1,568 nurses collected in 2015 and…

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Editor's Note In this analysis of measurements (ie, staff’s caring, workplace engagement, and work empowerment) assessed before and after implementation of an interprofessional shared governance model, only work empowerment scores of staff working in relationship-based care professional practice models were sustainable and increased progressively and significantly over time. Work engagement…

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Editor's Note Despite high rates of patients discharged with cardioprotective medications, the long-term burden of postoperative myocardial infarction (MI) after major vascular surgery is substantial, with a high mortality rate in the following year, this study finds. Of 26,231 vascular surgery patients analyzed, factors linked to an increased risk of postoperative…

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Editor's Note Bariatric surgery provides more benefits for obese patients than weight loss; it also reverses subclinical heart dysfunction, finds this study presented December 5 at EuroEcho 2019, a scientific congress of the European Society of Cardiology in Vienna, Austria. The study included 38 obese patients who had bariatric surgery…

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Editor's Note Though patient and personnel factors affect the order of case induction, induction time is most dependent on patient factors, this study finds. Of 15,823 cases analyzed, predictors of later patient induction included add-on case, ASA class 3 or more, neuraxial anesthesia, and CRNA staffing. In 11,093 (70.1%) cases,…

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Editor's Note More than 2.8 million antibiotic-resistant infections occur in the US each year, resulting in more than 35,000 deaths, according to a new “Antibiotic Resistance Threats in the United States 2019” report from the Centers for Disease Control & Prevention (CDC). The CDC also notes that 223,900 cases of…

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Editor's Note In this study, a software app that tracks perioperative controlled substance use and is integrated into the electronic health and pharmacy records and database systems was associated with a decrease in management errors. This analysis includes data on missing controlled substance medications, controlled substance kits, and witness return…

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Editor's Note In this study, the use of alcohol-based hand rub on nitrile examination gloves did not compromise glove integrity or hamper the ability of anesthesia providers to safely perform anesthesia functions. A total of 50 new gloves (not exposed to alcohol-based hand rub) were tested for integrity, and one…

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