Safety

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November 2025
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Quality monitoring for decontamination process

The foundation of sterilization is cleaning. How can we be sure that the mechanical cleaning equipment being used is producing clean medical devices? There are methods available to verify that the mechanical equipment used to clean medical devices is functioning appropriately. ANSI/AAMI ST79:2017 Comprehensive guide to steam sterilization and sterility…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIf
November 17, 2021
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Patient safety and the “Internet of Medical Things (IoMT)”

With all of the advantages that come from electronic health records and connected devices, some distinct security risks also exist. Healthcare is seeing these risks grow in the form of ransomware, phishing attacks, and cybersecurity breaches. Healthcare has become one of the industries most vulnerable to cyberattacks, and one with…

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By: Karen Stockdale, MBA, BSN, RN
November 17, 2021
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Lay groundwork for strong start to new year with quick win in OR efficiency

The new year is just around the corner, and it will bring new challenges for OR leaders as well as fresh opportunities to improve clinical, financial, and operational performance. The typical surgery department is a “target-rich environment”: low utilization, long turnover times, inefficient charge capture, poor documentation, high supply costs,…

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By: Michael Besedick, MS and Kartik Bhatt, MPH
November 17, 2021
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Supportive system synergizes presurgical patient optimization

The better a patient’s overall health prior to undergoing surgery, the more likely a good surgical outcome. Research has demonstrated the benefits of prehabilitation and Enhanced Recovery After Surgery protocols, and many healthcare facilities have embedded such practices into their surgical patient care pathways. At UPMC Central Pennsylvania Region in…

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By: Judith M. Mathias, MA, RN
August 19, 2021
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Researchers raise the alarm on splashing during reprocessing--Part 2

Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…

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By: Judith M. Mathias, MA, RN
July 20, 2021
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Educate to mitigate workplace violence in healthcare--Part 1

Increased tensions during the COVID-19 pandemic have contributed to a spate of violent incidents, many of them directed at healthcare workers (HCWs). About 20% of respondents to a National Nurses United survey in late 2020 of more than 15,000 US registered nurses reported an increase in on-the-job violence caused by…

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By: Elizabeth Wood
July 20, 2021
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Editorial

The Joint Commission on June 18 issued prepublication standards for its New and Revised Workplace Violence Prevention Requirements, which will apply to all Joint Commission-accredited hospitals starting January 1, 2022. Revisions range from some wording changes in existing requirements to the addition of new Elements of Performance (EP) within certain…

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By: Elizabeth Wood
July 20, 2021
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COVID-19 driving the move to regional anesthesia

Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…

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By: Steven C. Eror
July 20, 2021
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Discover the power of language during the OR Manager Conference

Choosing words carefully to send the message that was intended is a critical skill in the high-stress environment of the OR. Frances Cole Jones, an expert in the nuances of language, will inspire OR Manager Conference attendees to think differently about how they communicate during her keynote address on October…

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By: Elizabeth Wood
July 20, 2021
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New term clarifies instrument point-of-use treatment

What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
July 20, 2021
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