Safety/Quality

Latest Issue of OR Manager
January 2025
Home Safety/Quality

Operationalizing a robotics program for evenings, weekends

The St Elizabeth Healthcare organization in northern Kentucky has eight facilities, including two surgery centers. The flagship hospital on the Edgewood campus has 534 beds and 22 ORs and typically performs some 14,000 surgical procedures per year. Robots help manage the volume. The Edgewood, Florence, and Ft Thomas hospitals have…

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By: Judith M. Mathias, MA, BS, RN
November 17, 2022
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Robotic surgery is the future, but has trust caught up?

The world of artificial intelligence (AI) and robotics has evolved and continues to become more widely used, and the medical industry represents one of its most promising applications. Scientists at the University of Bern’s Center for Biomedical Engineering Research have already found a way to carry out robot-assisted cochlear implantation,…

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By: David Cotriss
November 17, 2022
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State of natural language processing in surgery: Part 1

Imagine this: As a nurse in the OR talks with a patient, a computer listens in, recording the nurse’s notes so that data are added automatically to be retrieved later. The surgeon and anesthesiologist also interact with the patient without the burden of manual data entry, and the insurance company…

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By: Cynthia Saver, MS, RN
November 17, 2022
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Challenges and best practices with strategizing flip rooms

Consider the following requests posed to OR scheduling staff by surgeons: • “I need two blocks in different rooms to accommodate my daily case volume.” • “Can’t I just use that empty room to start my next case while the first case is wrapping up?” Surgeon requests like these are…

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By: Elizabeth Stocum, BSN, RN, CNOR
November 17, 2022
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Revised AORN Flexible Endoscope Processing Guideline

On September 15, 2022, AORN released its updated Guideline for Processing Flexible Endoscopes. Over the past several years, there has been significant research on flexible endoscope processing—research that met the stringent requirements and has been included in this revised guideline by AORN’s lead author and team. Endoscope processing begins with…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
November 17, 2022
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Loneliness linked to postop mortality in Medicare patients

Editor's Note In this study of Medicare patients, researchers from the University of Michigan, Ann Arbor, find that loneliness is associated with an increased risk of death at 30 days after nonelective surgery. Of 4,453 patients in the analysis, 623 (14%) had nonelective surgery. The mean loneliness score was 1.5. Unadjusted…

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By: Judy Mathias
November 16, 2022
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CMS outlines steps to improve health equity data

Editor's Note The Centers for Medicare and Medicaid Services (CMS) on November 10 issued a report outlining its plans, “for the first time,” to improve the transparency, accountability, and completeness of health equity data across its programs. “CMS defines health equity data as the combination of quantitative and qualitative elements…

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By: Judy Mathias
November 16, 2022
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COVID-19 symptoms 2 years after infection in hospitalized vs nonhospitalized patients

Editor's Note This study from Spain finds that 59.7% of hospitalized and 67.5% of nonhospitalized COVID-19 patients had at least one symptom 2 years after infection. Of 360 hospitalized and 308 nonhospitalized COVID-19 patients analyzed, fatigue (161 vs 147), pain (129 vs 92), and memory loss (72 vs 49) were…

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By: Judy Mathias
November 15, 2022
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Unplanned hospital visits within 7 days of outpatient surgery

Editor's Note This study led by researchers at Yale New Haven Hospital, New Haven, Connecticut, finds that many patients have unplanned hospital visits within 7 days of outpatient surgical procedures performed in hospital outpatient departments (HOPDs), often for potentially preventable reasons. The analysis included 1,135,441 outpatient surgical procedures performed at…

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By: Judy Mathias
November 14, 2022
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CDC posts HAI progress report

Editor's Note The Centers for Disease Control and Prevention (CDC) on November 4 posted the incidence of healthcare-associated infections (HAIs) reported by US hospitals in 2021. The report showed that rates for four of six tracked infections had increased: Central line-associated bloodstream infections (CLABSIs) increased 7%, with the largest increase…

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By: Judy Mathias
November 14, 2022
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