Study: Blood thinner, NSAID combination raises bleeding risk
Editor's Note Research reveals combining non-steroidal anti-inflammatory drugs (NSAIDs) with blood thinners heightened bleeding risk across multiple organ systems, HealthDay reported November 18. The study analyzed nearly 52,000 Danish patients prescribed blood thinners between 2012 and 2022, examining NSAID interactions with multiple anticoagulants including rivaroxaban, apixaban, dabigatran, edoxaban, and warfarin.…
IV fluid shortage drives innovation in hospital hydration practices
Editor's Note A nationwide shortage of intravenous (IV) fluids is forcing hospitals to adopt conservation strategies that could reshape hydration practices long-term, KFF Health News reported November 19. The shortage was driven by Hurricane Helene’s damage to Baxter International’s North Cove facility, which is responsible for 60% of US IV…
FDA Class 1 recalls target anesthesia workstations, ambulatory infusion pumps, ventilators
Editor's Note The US Food and Drug Administration (FDA) has designated Class 1 recalls—the most severe category indicating risk of serious injury or death—involving three systems: Atlan anesthesia workstations from Draeger, CADD-Solis ambulatory infusion pumps from Smiths Medical, and Trilogy Evo ventilators from Philips Respironics. FDA issued all three announcements…
Strategic thinking tools, techniques transform vision to reality
Takeaways • The 3A Strategic Thinking Framework and the GOST Framework are examples of tools that can help make the abstract process of strategic thinking more concrete for perioperative leaders. • Carving out dedicated time for planning and fostering strategic thinking in others are important to achieve optimal results. •…
Conference community-building proves its worth
How should responsibilities associated with C-sections be divided between the OR team and the OB/GYN department at a staff-strapped rural hospital? This was just one of many questions I had never considered prior to attending the 2024 OR Manager Conference, which drew perioperative professionals to the MGM Grand in Las…
Practice updates ease steam sterilization balancing act
Reliable and robust enough for daily use on most medical devices, steam is the most common sterilant in healthcare facilities. However, using steam properly requires a balancing act. For example, too much moisture can lead to wet packs, while steam that is too dry might not be sufficient to achieve…
Why bullying, incivility demand distinction
Think of that colleague you would not miss if they called out sick. You may be short-staffed, but you know you are going to have a better shift without their chronic complaining, drama, and lack of productivity sucking all the energy and joy out of the department. Tolerated for too…
Perianesthesia certification protects patients, promotes retention
Although certification can be a career accelerator for any nurse, perioperative nurses in particular appear to be getting the message. Consider the most recent data from the American Board of Perianesthesia Nursing Certification, Inc (ABPANC), which offers the Magnet-recognized Certified Postanesthesia Nurse (CPAN) and Certified Ambulatory Perianesthesia Nurse (CAPA) credentials.…
Study: GLP-1s reduce TKA complications for non-diabetic patients with obesity
Editor's Note Glucagon-like peptide-1 receptor agonists (GLP-1s) could reduce total knee arthroplasty (TKA) complications for non-diabetic patients with obesity, according to a November 13 Helio report on research presented at the American Association of Hip and Knee Surgeons Annual Meeting. In addition to reduced odds of 90-day medical complications, the…
Study finds high rates of preventable, adverse events in perioperative care
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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