Editor's Note This update to the 2014 "Strategies to Prevent Surgical Site Infections in Acute Care Hospitals" recommends that antibiotics be discontinued after a patient’s incision has been closed in the OR, even if drains are present. The expert panel members writing the update add that continuing antibiotics after closure…

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Editor's Note This study, published in The Joint Commission Journal on Quality and Patient Safety, analyzes 68 closed claims cases on wrong-site surgery from 2013 to 2020. The services most frequently responsible for these cases were: Orthopedics (35.3%) Neurosurgery (22.1%) Urology (8.8%). The most common types of procedures involving wrong-site…

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Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…

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Editor's Note In this British Medical Journal editorial, experts say that female healthcare workers (HCWs) need better protection of their breast tissue from routine ionizing radiation, and they urge implementation of more rigorous radiation protection standards. The experts make the following recommendations: reducing the duration of exposure increasing the distance…

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Editor's Note The Joint Commission, on April 10, released a new Quick Safety advisory on preventing patient burns from light sources used during laparoscopic or arthroscopic procedures. Burns from these light sources can go unnoticed because they typically do not produce smoke or charring, even of surgical drapes, The Joint…

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Editor's Note This investigation by the Kentucky Department for Public Health and Centers for Disease Control and Prevention of eight cases of rapidly growing mycobacteria (RGM) infections in a Kentucky hospital after total joint replacement procedures found that the presence of a particular OR nurse was significantly associated with the…

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Editor's Note In this study led by California's Stanford Health Care, researchers found significant associations of surgical team composition and dynamics with operative efficiency for total hip (THAs) and total knee arthroplasties (TKAs), independent of case complexity. The analysis included 641 total joint arthroplasties (279 THAs and 362 TKAs) performed…

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Editor's Note This Canadian meta-analysis finds that artificial intelligence (AI) has the potential to automate hip fracture diagnoses; however, complicated models may not provide benefit over traditional patient-specific postoperative outcomes predictions. Of 39 studies included in the analysis, 18 used AI models to diagnose hip fractures on plain radiographs and…

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Nurse leaders know that a successful workplace fosters and celebrates teamwork. In the OR, teamwork among surgeons, surgical technologists, circulating nurses, anesthesiologists, and first assistants, to name a few, is critical to ensure patient safety and positive outcomes. And teamwork does not have to be reserved for inside the surgical…

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Editor's Note In this study, led by the University of Pennsylvania Perelman School of Medicine, Philadelphia, researchers developed and validated better surgical specialty-specific multimorbidity definitions based on distinct characteristics of older inpatients undergoing general, orthopedic, or vascular surgery. The researchers used 2016 to 2017 Medicare administrative claims data on patients…

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