Editor's Note Adverse events (AEs) remain widespread in perioperative care, affecting nearly one in three patients and resulting in substantial and often preventable patient harm, according to a retrospective cohort study published November 13 in The BMJ. The study analyzed 1,009 weighted admissions from a sample of 64,121 surgical patients…

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Editor's Note During the past few years, US hospitals have improved significantly in reducing healthcare-associated infections (HAIs), adhering to hand hygiene best practices, and preventing medical errors, according to the fall 2024 Hospital Safety Grades from The Leapfrog Group, a nonprofit focused on patient safety. Released November 15, the rankings…

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Editor's Note A recent randomized crossover trial conducted at Johns Hopkins University reveals that improper arm positioning during blood pressure measurements can lead to significant overestimation, potentially contributing to over-diagnosis of hypertension. The findings appeared in Jama Network October 7. The study, which included 133 participants, compared readings in three…

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Editor's Note Often exceeding federal safety limits, OR noise contributes significantly to communication breakdowns, heightened cognitive load, and increased surgical errors, according to a review of literature published September 17 in Cureus. Identified noise sources include surgical instruments, alarms, and staff conversations, which can reach up to 120 decibels (dBA)—a…

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Editor's Note Findings published in the Journal of the American College of Surgeons show how a standardized handoff protocol can improve OR communication and reduce the risk of error, Medical Xpress reported on June 19. The study focused specifically on SHRIMPS, a standardized handoff protocol developed by the quality improvement…

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Editor's Note Released May 1, the most recent Leapfrog Group hospital patient safety grades reflect declines in preventable healthcare-associated infections and improvements in patient’s hospital experiences since fall 2023. Leapfrog, a nonprofit, releases its Hospital Safety Grades report biannually, assigning traditional letter grades to nearly 3,000 general hospitals based on…

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Editor's Note Healthcare workers in Kentucky will become the first in the country to gain protection from criminal prosecution for medical errors, WKYT reported April 30. Passed unanimously by both chambers of the Kentucky legislature and signed by Gov. Andy Beshear in March, the law was championed by the Kentucky…

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Left sniffling and sneezing after a whirlwind 4 days at my first AORN Global Surgical Conference and Expo in Nashville, Tennessee, I had more on my mind than whether the term “conference-acquired infection (CAI)” was officially part of the medical nomenclature, much less whether any studies had been done. I…

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Editor's Note Designed to address high rates of preventable medical errors, a new initiative from The National Quality Form (NQF), an affiliate of The Joint Commission, will modernize criteria for what constitutes a Serious Reportable Event (SRE) and align standards for reporting such events across different accountability systems. Dubbed “Focus…

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Editor's Note US Representatives from California and Texas reintroduced the National Patient Safety Board (NPSB) Act, which aims to establish a public-private research and development team “dedicated to preventing and reducing healthcare-related harms." The March 11 announcement comes during Patient Safety Awareness Week, an annual awareness initiative focusing on the…

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