Safety/Quality

Latest Issue of OR Manager
September 2024
Home Safety/Quality

Antiseptic nasal decolonization noses ahead

Over 20 years ago, an article from Johns Hopkins published in The New England Journal of Medicine showed that Staphylococcus aureus decolonization of the nares can decrease risk of surgical site infections (SSI). Since then, nasal decolonization—the application of a topical antimicrobial or antiseptic agent to the nares—has been adopted…

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By: Marc-Oliver Wright
May 24, 2024
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Surgery center culture must prioritize cleaning, hand hygiene

Ambulatory surgery centers (ASCs) play an increasingly crucial role in delivering outpatient surgical care that is efficient, effective, and—most importantly—safe. As the ASC sector continues to grow and evolve, maintaining best practices in hand hygiene and environmental cleaning and disinfection is imperative to protect patients from infections. ASCs also should…

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By: Erica Smith
May 24, 2024
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How awareness evolves to action on surgeon, patient gender gaps

Takeaways Although women comprise half the population, they were left out of medical research on major causes of death for both women and men—cancer, heart disease, and stroke—until 1990. Using surgical tools designed by men, for men can impact every aspect of a woman surgeon’s work, from learning new procedures…

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By: Brita Belli
May 24, 2024
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Common inspection points for surgical instrumentation

Inspecting surgical devices is a time-consuming process. However, diligently checking every instrument prior to sterilization is essential to ensuring safe, proper functioning. As the last people to see devices before they are used for patient care, sterile processing technicians must be thorough. Exterior surfaces should be inspected for flaws such…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
May 24, 2024
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Supply chain stress fractures demand rock-solid continuity planning

More than 4 years after personal protective equipment production and inventories crashed amid the global COVID-19 pandemic, the “new normal” in healthcare supply chains seems to be “uncertainty.” Although hospital margins are improving and patient volumes are trending upward, “stress fractures continue to remain in place,” says Michael Schiller, CMRP,…

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By: Marisa Torrieri
May 24, 2024
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Review highlights AI’s promise for improving preoperative, intraoperative, postoperative care

Editor's Note Although artificial intelligence (AI) applications in surgery “remain relatively nascent,” the technology has potential to significantly impact all phases of surgical care, according to a review article published May 13 in Nature Medicine. “The emergence of foundation model architectures, wearable technologies, and improving surgical data infrastructures is enabling…

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By: Matt Danford
May 23, 2024
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Heart disease trial supports less-invasive alternative to SAVR, CABG surgery

Editor's Note Contrary to previous findings, less-invasive percutaneous intervention combining fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) with transcatheter aortic valve replacement (TAVR) could be a viable alternative to surgery for patients with severe aortic stenosis (AS) and concomitant obstructive coronary artery disease (CAD). That’s according to the results…

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By: Matt Danford
May 23, 2024
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Surgery-preventing spinal stimulation poised for FDA approval

Editor's Note A recent trial marks the last hurdle for researchers to request regulatory approval for a noninvasive alternative to spinal surgery, according to a May 20 report in MIT Technology Review. Onward Medical’s ACRex device delivers electrical stimulation to the spinal cord via two wired electrodes placed just below…

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By: Matt Danford
May 23, 2024
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FDA announces class 1 recall for radiographic breast tissue marker

Editor's Note The US Food and Drug Administration (FDA) has designated the recall of Hologic Inc.’s BioZorb Marker a class 1, indicating a risk of serious injury or death. BioZorb is an implantable radiographic marker used to mark soft tissue (such as breast tissue) for future medical procedures. Provided sterile…

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By: Matt Danford
May 23, 2024
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Study: Transcatheter aortic valve replacement offers similar outcomes to surgical aortic valve replacement

Editor's Note The largest scale analysis so far available comparing surgical aortic valve replacement (SAVR) to longer-term percutaneous devices for transcatheter aortic valve replacement (TAVR) supports the comparable long-term safety and efficacy of the latter procedure. According to a May 15 report in Medical Xpress, the findings raise important considerations for valve…

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By: Matt Danford
May 22, 2024
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