Joint Commission: Blood management certification guide available
Editor's Note The Joint Commission on March 16 announced that the new Patient Blood Management Certification Review Process Guide (2016) is now available. Contents include a description of activities that take place during an on-site certification review and tips to prepare for the review process. Patient Blood Management Certification…
SGNA releases two new infection prevention standards
Editor's Note The Society of Gastroenterology Nurses and Associates (SGNA) has released two new standards focused on infection prevention. The revised “Standards of Infection Prevention in Reprocessing of Flexible Gastrointestinal Endoscopes” details nine steps for successful reprocessing. The previous standard had eight steps—visual inspection used to be included with manual…
New clinical practice guideline on postop pain management
Editor's Note The American Pain Society, American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists have issued a new guideline on the “Management of Postoperative Pain.” The guideline provides recommendations that address aspects of postoperative pain management, including: preoperative education perioperative pain management planning use…
FDA: Draft guidance on designing interoperable devices
Editor's Note The Food and Drug Administration (FDA) on January 26 published draft guidance for “Design considerations and premarket submission recommendations for interoperable medical devices” to assist medical device manufacturers in designing products that are interoperable and can securely share data. The draft includes factors to consider when developing the…
New guideline for geriatric surgical patients released
Editor's Note The American College of Surgeons and American Geriatrics Society on January 4 released a new best practice guideline for optimal care of older adults before, during, and after surgery. The new guideline, “Optimal Perioperative Care of the Geriatric Patient,” addresses the care of surgical patients 65 years old…
New guidelines recommend use of arterial grafts for coronary bypass
Editor's Note New clinical practice guidelines from the Society of Thoracic Surgeons recommend the use of arteries from the chest and forearm rather than using veins from the leg for coronary artery bypass grafting. The left internal thoracic artery is considered the gold standard conduit for coronary bypass and has…
Appropriate use criteria reduces nonacute, inappropriate PCIs
Editor's Note Since publication of the Appropriate Use Criteria for Coronary Revascularization in 2009, the number of nonacute percutaneous coronary interventions (PCIs) has declined significantly (89,704 vs 59,375). The proportion of nonacute PCIs classified as inappropriate has also declined (26.2% vs 13.3%), although hospital-level variation persists. These findings indicate that…
HVAC task force issues interim guide for OR, SPD
Editor's Note A heating, ventilating, and air conditioning task force on September 28 issued interim guidance to help health care facilities maintain appropriate temperature and humidity in ORs and sterile processing departments, AHA News reports. The interim guide was developed as the task force is working to achieve consensus on…
Effect of professional guidelines on preop testing
Editor's Note The release of 2002 guidelines on preoperative testing by the American Society of Anesthesiologists, American College of Cardiology, and American Heart Association was associated with a reduction in routine ECG testing but not of x-rays, hematocrit, urinalysis, or cardiac stress testing, in this study. Because routine preoperative testing…
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…
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- Study: Daytime meals protect heart health in night shift workers
- Borescope inspections reveal widespread contamination in lumened surgical instruments