Safety/Quality

Latest Issue of OR Manager
January 2025
Home Safety/Quality

Traveler tightrope: OR leaders balance best practices, reduction strategies

Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…

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By: Cynthia Saver, MS, RN
September 25, 2024
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How perioperative staff can combat human trafficking—Part 2

Human trafficking (HT) is a hidden-in-plain-sight crime—victims walk among the public at large, yet they remain essentially invisible. Lack of education and knowledge on HT and anti-trafficking measures is particularly egregious in healthcare. In fact, the literature shows the majority of people being trafficked access the system without being identified…

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By: Dr Francine Bono-Neri, PhD, RN, APRN, PNP
September 25, 2024
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Study shows defibrillation pad placement may improve cardiac arrest outcomes

Editor's Note A recent observational study published in JAMA Network suggests the placement of defibrillation pads during cardiac arrest treatment could significantly impact survival rates, Cath Lab Digest September 23 reports. The study analyzed 255 cases of cardiac arrest where the two pads were placed either at the front and…

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By: Tarsilla Moura
September 24, 2024
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Study: Chances of pregnancy after tubal ligation higher than previous estimates

Editor's Note Tubal sterilization, often considered a permanent form of contraception, has a failure rate of 3% to 5%, leading to unplanned pregnancies in some cases, UC San Francisco reported August 27. Publishing in NEJM Evidence, university researchers report that contraceptive arm implants or intrauterine devices (IUDs) may be more reliable…

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By: Matt Danford
September 24, 2024
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Study: Atrial fibrillation affects three times more Americans than previously estimated

Editor's Note Research shows atrial fibrillation (Afib), a heart rhythm disorder, affects 10.5 million US adults—three times more than previously believed, HealthDay News reported September 12. The article focuses on a study from the University of California, San Francisco (UCSF), published in the Journal of the American College of Cardiology.…

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By: Matt Danford
September 24, 2024
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Report: US hospitals see sevenfold improvement in hand hygiene compliance since 2020

Editor's Note According to this report published by The Leapfrog Group this month, hospitals in the US have significantly improved hand hygiene compliance, with 74% meeting the Leapfrog Hand Hygiene Standard in 2023, up from 11% in 2020. Among other factors, the report attributes this improvement to increased use of…

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By: Tarsilla Moura
September 24, 2024
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Study: OR noise raises risk of surgical error

Editor's Note Often exceeding federal safety limits, OR noise contributes significantly to communication breakdowns, heightened cognitive load, and increased surgical errors, according to a review of literature published September 17 in Cureus. Identified noise sources include surgical instruments, alarms, and staff conversations, which can reach up to 120 decibels (dBA)—a…

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By: Matt Danford
September 23, 2024
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Alternative to mitral valve surgery shows promise, but research criticized

Editor's Note Although data suggest transcatheter edge-to-edge repair (TEER) using the MitraClip device may offer similar outcomes to mitral valve surgery in patients with heart failure and functional mitral regurgitation (FMR), experts have criticized the research, TCT MD reported September 1. Presented at the recent European Society of Cardiology (ESC)…

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By: Matt Danford
September 23, 2024
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California updates guidance on CRNA scope of practice

Editor's Note Confusion about the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) prompted The California Department of Public Health to update guidelines for acute care hospitals, MedPage Today reported September 18. Issued after violations at two Modesto hospitals resulted in hundreds of cancelled surgeries, a letter from the…

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By: Matt Danford
September 20, 2024
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FDA designates Class 1 recall for tracheostomy tubes

Editor's Note The US Food and Drug Administration (FDA) has designated the recall of Smiths Medical’s Bivona Neonatal/Pediatric and Adult Tracheostomy tubes as a Class 1, the most severe category indicating risk of serious injury or death. According to the agency’s September 18 report, the recall is due to a…

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By: Matt Danford
September 19, 2024
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