Safety/Quality

Latest Issue of OR Manager
September 2024
Home Safety/Quality

Complementing Modified Early Warning Score (MEWS) with nursing guide application improves early postoperative outcomes

Editor's Note Following up with a nursing guide in addition to the the modified early warning score (MEWS) helps reduce early postoperative complications, according to the results of a recent clinical trial. Nursing guide application in patients followed up according to MEWS also decreased ISCU admission, decreased MEWS and increased…

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By: Matt Danford
February 28, 2024
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Study: Nurses offer untapped potential to assess patient discharge readiness

Editor's Note Although few strategies for reducing readmission rates leverage nurse input, nurses are well-placed to identify patients most at risk, according to a study published in the March issue of the journal Medical Care. The authors note that older Medicare beneficiaries with multiple chronic conditions (MCCs) continue to experience…

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By: Matt Danford
February 28, 2024
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Shift to outpatient, emergency services keeps rural hospitals afloat

Editor's Note More CEOs are considering rural emergency hospital (REH) designation, according to a February 12 article in Becker’s Hospital CFO Report. In January 2023, REH was established as a new Medicare provider type to enable struggling rural hospitals to continue operating with outpatient and emergency services only, instead of…

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By: Matt Danford
February 27, 2024
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Bedside portable device offers real-time monitoring for pancreatic fistulas, other conditions

Editor's Note Researchers at the Helmholtz-Zentrum Dresden-Rossendorf (HZDR) and the University Hospital Dresden (UKD) have developed a portable, droplet-based millifluidic device that can monitor patients for postoperative pancreatic fistula in the critical first days after surgery. The same technology might also be expanded to analyze other body fluids and diseases.…

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By: Matt Danford
February 27, 2024
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Nurse leaders on how to improve nurse wellness, reduce burnout

Takeaways Research shows that there are high nurse burnout rates from systemic workplace issues, including unmanageable case-loads, poor communication, excessive administrative burdens and an overall lack of care. Nurse wellness programs—including resilience training, peer-to-peer counseling, and meditation—are critical, because of high exposure to trauma and suffering, but these efforts need…

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By: Brita Belli
February 27, 2024
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Unveiling ECRI’s 2024 top 10 health technology hazards list

What is the purpose of the top 10 health technology hazards list, released every year by ECRI? “Our number one goal at ECRI is to reduce preventable harm,” stresses Jason Launders, MSC, former director of operations, device evaluation, at ECRI. “We know that every healthcare provider has a lot they…

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By: Tarsilla Moura
February 27, 2024
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Why OR leaders should revisit sterile processing basics

Sterile Processing Department (SPD) managers and technicians know a thing or two about pressure. In a recent webinar covering sterile processing basics, Cori L. Ofstead, MSPH, president and CEO of Ofstead & Associates, Inc, and Abby Smart, MPH, research associate, cited the example of a 480-bed hospital that performed 13,650…

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By: Uyen Vo, BSN, MBA
February 27, 2024
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South Korea issues deadline, threatens prosecution for junior doctors amid surgery-stopping strike

Editor's Note A week after a walkout of junior doctors in South Korea halted about a third of surgeries at large hospitals in Seoul, the government is threatening prosecution and the revocation of medical licenses if the walkout doesn’t end by February 29. As reported by the Associated Press February…

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By: Matt Danford
February 26, 2024
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Study: Postop emergency appendectomy complications more likely for Black children

Editor's Note In a recent study, black children undergoing emergency appendectomy had a four times greater risk of postoperative complications than white children, independent of socioeconomic status or type of appendicitis. Anaesthesia, the journal of the Association of Anaesthetists, published the findings February 22. Researchers note that this is the…

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By: Matt Danford
February 26, 2024
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Study: bariatric surgery effective for pediatric weight loss, but may adversely affect bone health

Editor's Note What researchers say is the first systematic review and meta-analysis to report on bone health outcomes from pediatric bariatric surgery shows the procedure is highly effective at achieving weight loss amid a childhood obesity crisis of epidemic proportions. However, the surgery also could put patients at greater risk…

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By: Matt Danford
February 23, 2024
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