Postanesthesia Care

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January 2025
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Older Black men more likely to die after surgery than others

Editor's Note This study led by researchers at the VA Greater Los Angeles Healthcare System and David Geffen School of Medicine at UCLA, Los Angeles, finds that postoperative mortality was higher in Black men than Black women, White men, and White women. A total of 1,868,036 Black and White Medicare…

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By: Judy Mathias
March 2, 2023
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The Joint Commission revises PI requirement for preop, postop diagnoses discrepancies

Editor's Note The Joint Commission on March 1 announced a revision to Performance Improvement (PI) standard PI:01.01.01, Element of Performance (EP) 4, which has to do with data collection on significant discrepancies between preoperative and postoperative diagnoses. The revision was made after healthcare organizations expressed confusion with the requirement. The…

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By: Judy Mathias
March 2, 2023
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Transition of general surgery procedures to outpatient settings during COVID-19

Editor's Note This study from the Mayo Clinic finds that despite calls for the expansion of outpatient surgery to mitigate the growing backlog of surgical cases during COVID-19, the transition of general surgery procedures from inpatient to outpatient settings occurred in only a small subset of procedures. This cohort study…

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By: Judy Mathias
March 2, 2023
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Postop outcomes in women having CABG surgery

Editor's Note This study led by researchers at Weill Cornell Medicine, New York City, finds no significant improvements over the last decade in postoperative outcomes in women undergoing coronary artery bypass grafting (CABG) surgery. This retrospective cohort study included 1,297,204 (317,716 were women) patients who had primary CABG surgery between…

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By: Judy Mathias
March 1, 2023
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Balance benefits longevity

Editor's Note A study published in the British Journal of Sports Medicine found that in people over 50 years of age, not being able to balance on one foot for 10 seconds was associated with a higher risk of all-cause mortality within the next 10 years, the February 24 cnbc.com…

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By: Judy Mathias
March 1, 2023
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Prognostic value of preop surgeon intuition vs ACS-NSQIP risk calculator

Editor's Note This study by researchers from Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, finds that preoperative surgeon intuition is an independent predictor of postoperative complications, but it isn’t as strong as the predictive power of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)…

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By: Judy Mathias
February 28, 2023
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Survey: Understaffing, paperwork burning out nurses, physicians

Editor's Note A recent Health Day-Harris Poll online survey finds that 63% of nurse and physician respondents are experiencing moderate or severe burnout at work, the February 23 Health Day News reports. Other findings include: 66% of physicians and 75% of nurses cite understaffing as the main contributor to burnout…

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By: Judy Mathias
February 28, 2023
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The Joint Commission updates Patient Blood Management certification requirements

Editor's Note The Joint Commission, on February 22, announced that it had approved new and revised requirements for hospitals and critical access hospitals in the Patient Blood Management certification program. The program is a voluntary 2-year certification based on the Association for the Advancement of Blood and Biotherapies Standards for…

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By: Judy Mathias
February 22, 2023
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Maximize your staff: Developing and using successful float teams

Float teams have been a staple of nurse-staffing plans for many years, but they have not been widely used in the operating room. Utah Valley Hospital, a Level II trauma center in Provo, Utah, and part of the Intermountain Healthcare system, has been developing float teams for nearly 2 decades.…

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By: Judith M. Mathias, MA, BS, RN
February 22, 2023
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Training and retaining skilled PACU nurses

When Ayumi Fielden, MSN, RN, CCRN-K, CPAN, worked as a preceptor in a PACU nurse residency program for new graduate nurses, she realized quickly that something was missing. “The graduate nurses struggled because they were not yet comfortable with basic nursing skills, such as assessments and giving medications. They also…

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By: Catherine Spader, RN
February 22, 2023
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