Editor's Note Patients at Veterans Affairs hospitals who developed postoperative Clostridium difficile infections had a five times higher risk of mortality and a twelve times higher risk of morbidity in this study. This analysis of nearly 500,000 surgical procedures found that out of more than 1,800 patients who developed C…

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Editor's Note This study from Johns Hopkins Bayview Medical Center, Baltimore, found a significant relationship between OR door openings and room pressure. The OR door was opened, on average, once every 2.5 minutes of surgery. For 77 of 191 knee and hip arthroplasties, the doors were open long enough for…

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Three new studies on reducing surgical site infections (SSIs) were reported at the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) conference in July. Researchers at three different institutions identified several process changes that, once implemented, brought down SSI rates. Each study used different methodology, but all…

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The anesthesia quality improvement program at Vanderbilt University Medical Center in Nashville can claim a variety of successes, notably less postoperative hypo- and hyper-glycemia and fewer wound infections. When anesthesia providers noticed they weren’t monitoring blood glucose in patients with diabetes as frequently as their own goals specified, they put…

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During the first half of 2015, the Joint Commission’s top “not compliant” survey citations stemmed from Infection Control IC.02.02.01, which relates to reducing the risk of infections associated with medical equipment, devices, and supplies. Surveyors cited critical access hospitals in 60% of the surveys, hospitals in 54%, and office-based surgery…

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Editor's Note Readmission after emergency general surgery procedures is common and varies widely according to patient factors and diagnosis, this study finds. Of more than 177,000 patients analyzed, nearly 6% were readmitted within 30 days. The most common reasons were surgical site infections (16.9%), gastrointestinal complications (11.3%), and pulmonary complications…

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Editor's Note Though recent studies using large databases have concluded that neuraxial compared with general anesthesia is associated with a decreased incidence of SSIs in total joint patients, this 11-year retrospective, controlled study found no difference. The use of peripheral nerve blocks also was not found to influence the incidence…

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Editor's Note The Joint Commission and the Centers for Disease Control and Prevention (CDC) are collaborating on an initiative to adapt, enhance, and disseminate CDC infection prevention guidance in a variety of free-standing and ambulatory healthcare settings. The Joint Commission will select and work with 12 outpatient-focused professional organizations and…

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Editor's Note Quality improvement initiatives combined with pulsed xenon ultraviolet room disinfection reduced total knee surgical site infections (SSIs) from four to zero and total hip SSIs from three to zero for a combined prevention of seven SSIs and a savings of $290,990 in 1 year at Trinity Medical Center,…

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Editor's Note The American Nurses Association (ANA) is urging all RNs to get the seasonal influenza (flu) vaccination and to advise their patients to get vaccinated also. Vaccination is the safest way to protect patients and the public from flu transmission while providing care, the ANA says. The ANA’s position…

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