Penalties based on number of VTEs unfairly imposed
Editor's Note After a review of 128 case histories, Johns Hopkins researchers find that financial penalties imposed by federal and state agencies on Maryland hospitals based solely on the total number of patients who suffer venous thromboemboli (VTEs) fail to account for those that occur despite the consistent and proper…
SHEA, IDSA update strategies to prevent SSIs
Editor's Note The Society for Healthcare Epidemiology of America and the Infectious Diseases Society of America have updated the 2008 Strategies to Prevent Surgical Site Infections in Acute care Hospitals. The evidence-based recommendations include 15 strategies for SSI prevention and a special section on implementation that emphasizes a team-based approach…
FDA issues draft guidance on requirements for surgical gowns
Editor's Note The Food and Drug Administration has issued a draft guidance to describe its premarket regulatory requirements and performance testing needed to support liquid barrier claims for gowns used in health care settings. In the past, a number of terms have been used to refer to gowns intended for…
Surgical resident work hours reform does not improve patient safety
Editor's Note Work-hour restrictions for surgical resident, revised nationally 4 years ago to protect patients against fatigue-related errors, have not had the desired effect of lowering postoperative complication rates, according to this new study. Researchers from the American College of Surgeons found no significant difference in surgical outcomes between 1…
Onus on OR managers to scope out competency of endoscopy staff
Recent highly publicized outbreaks of infections linked to improper reprocessing of flexible endoscopes have raised concerns about infection prevention in gastrointestinal endoscopy procedures. Because of the headlines, legislatures are hearing from their constituents that they are fearful of being exposed to infections, and legislatures are getting involved. The Society of…
For optimal OR design, play by the rules and get expert advice
Designing an OR suite involves detailed planning, knowledge of regulations, an interdisciplinary team, a laser focus on process, and even a little bit of luck. Keeping all the balls in the air requires a master juggler, and OR managers are uniquely suited for that role. Architects and planners use guidelines…
Using chemical sterilants and high-level disinfectants in health care facilities
The update of the Association for the Advancement of Medical Instrumentation American National Standard Chemical sterilization and high-level disinfection in health care facilities, ANSI/AAMI ST58:2013, is available for purchase and should become part of health care facilities’ evidence-based library. Below is a brief description of the contents of the recommended…
Guidelines addressing preoperative assessment of geriatric patients aim to enhance outcomes
The number of elderly people in the US is on the rise, and so is the number of older patients having surgery. However, while advances in technology and techniques may make surgery more feasible for those age 65 and older, ensuring successful outcomes for this cohort is challenging. Specific guidelines…
Key OR design, construction changes proposed
Key changes are being proposed in the OR design and construction guidelines that are used by the Joint Commission, federal agencies, and 42 states. OR leaders may wish to offer comments. Comments are accepted until November 22, 2012, on the draft 2014 Guidelines for Design and Construction of Health Care…
New consensus statement for cardiac cath labs
For the first time, cardiac catheterization laboratory personnel have a document defining best practices, including time-outs, infection prevention, and preprocedure checklists. The statement, from The Society for Cardiovascular Angiography and Interventions (SCAI), issued in March 2012, is the first to represent consensus on the operation of cath labs, the lead…
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- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money
- Proposed HIPAA updates would improve cybersecurity, increase costs for healthcare providers
- Study: EMR data can enhance hand hygiene compliance, infection prevention
- Study: Machine learning model improves perioperative pain assessment
- Call for improved suicide risk screening in ASCs aims to strengthen safety protocols
- Study: Perioperative pregabalin reduces risk of kidney decline compared to gabapentin
- Medical school diversity declines after Supreme Court ruling
- Surgeons risk losing ground as transcatheter tricuspid valve interventions rise