Is point-of-use treatment an integral part of your sterilization process?
Providing sterile instrumentation for patient care is a basic fundamental of surgery, and ensuring sterility means that instrumentation must first be thoroughly cleaned, step by step. Point-of-use treatment, an important part of this process, is gaining the attention of accrediting agencies such as the Joint Commission, and it is included…
Say goodbye to skin injuries in surgical patients
Hospital-acquired pressure injuries (HAPIs) fall under the care management serious event category, and the literature suggests the incidence of a pressure injury following surgery or a procedure may contribute to more than half of all hospital-related skin injuries. Furthermore, the Centers for Medicare & Medicaid Services (CMS) has defined numerous…
Effect of recent barrier attire regulations in the OR
Editor's Note Though recent guidelines mandating additional barrier attire for all scrubbed and unscrubbed OR personnel from the Agency for Healthcare Research and Quality (AHRQ) and Joint Commission, which include bouffant caps covering all hair and long-sleeved surgical attire covering all exposed skin, this study finds that this mandate does…
FDA: Class I recall of Allergan Natrelle Biocell textured breast implants
Editor's Note The Food & Drug Administration (FDA) on September 12 designated the recall by Allergan of its Natrelle Biocell textured breast implants as Class I, the most serious. The recall was initiated because of a six times higher rate of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), a cancer…
Superior patient-centered care crucial for complex outpatient procedures
About 2 years ago I was diagnosed with prostate cancer. As I researched the treatment alternatives, I became very concerned about the complications associated with traditional surgical prostatectomy or radiation. Then I learned that I might be eligible for an outpatient procedure: high-intensity focused ultrasound (HIFU). Although HIFU is relatively…
Association of overlapping, nonconcurrent surgery with patient outcomes
Editor's Note Overlapping, nonconcurrent surgery was not associated with an increase in serious unanticipated events in this study. Of 61,525 surgical procedures performed over 1 year at a large academic medical center, a total of 8,391 patients had any overlap (beginning or end) and were matched on 11 variables. Compared…
Joint Commission posts new CCC Certification measure implementation guide
Editor's Note The Joint Commission on September 11 announced that it had posted a new version of the Comprehensive Cardiac Center (CCC) Certification program’s standardized measures implementation guide on its website with updated measure specifications. Beginning January 1, 2020, data collection on five new inpatient performance measures will be mandatory…
Effect of multicomponent home-based treatments on mobility after hip fracture in older adults
Editor's Note Current rehabilitation practices may not be sufficient for hip fracture recovery in older adults, this study finds. A total of 210 patients from three US academic centers were randomized to a training intervention group (105 patients), which included aerobic, strength, balance, and functional training, or an active control…
FDA: Metrix Company recalls certain lots of empty flexible IV bags
Editor's Note The Food & Drug Administration on September 10 posted the recall by the Metrix Company of Dubuque, Iowa, of specific lots of its empty IV flexible containers (bags) marketed under the Metrix Secure EVA Dual Chamber and Baxter ExactaMix names. The recall was initiated because of the potential…
Postop opioid prescribing in US, Canada, Sweden
Editor's Note This study found a very large variability in the use of postoperative opioids in different countries. The study sample included 129,379 opioid-naïve patients in the US, 84,653 in Canada, and 9,802 in Sweden. More than 70% of surgical patients in the US (76.2%) and Canada (78.6%) filled opioid prescriptions…
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