The devices and systems we use when diagnosing and treating patients are invaluable to patient care—but they are not perfect. Patients and staff can be harmed if design flaws or system faults aren’t identified and rectified, equipment isn’t adequately maintained or prepared for use, or proper procedures aren’t followed. Preventing…

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Editor's Note The Department of Health and Human Services (HHS) published a summary of its new Physical Activity Guidelines for Americans, online November 12 in the Journal of the American Medical Association. The updated guidelines provide information on types and amounts of physical activity that provide substantial health benefits. For…

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Editor's Note In patients having coronary artery bypass grafting (CABG) surgery, no significant difference was found in the risk of major adverse cardiac events between open and endoscopic vein-graft harvesting procedures, this study finds. In this analysis of 1,150 patients at 16 Veterans Affairs centers over a median follow-up of…

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Editor's Note Cigarette smoking rates in the US have dropped to the lowest level ever recorded, according to the November 9 Morbidity and Mortality Weekly Report. The smoking rate for adult smokers fell from 15.5% in 2016 to 14% in 2017, a rate 67% lower than it was in 1965.…

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Editor's Note Every year, Perioperative Nurse Week focuses attention on the work of more than 160,000 nurses who advocate for surgical patients. During the week, perioperative nurses are honored by colleagues and communities to highlight the ways in which nurses are working to improve patient safety−before, during, and after surgery−in…

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Editor's Note At 7:30 am, Thursday November 8, With the Camp Fire raging through Paradise, California, staff at Adventist Health Feather River Hospital in Paradise were ordered to evacuate patients and flee themselves, the November 11 nbcnews.com reports. After helping load patients into every vehicle they could find, surgical nurses…

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Editor's Note Transitioning from administrative data to chart-based surveillance review to measure hospital-acquired pressure ulcers (HAPUs) and accounting for HAPU severity could improve the validity of measures for assessing the clinical and financial impact of value-based purchasing interventions, this study finds. Assessing HAPU incidence, severity, and trends using administrative data…

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Editor's Note The Joint Commission on November 7 announced a new requirement of participation in a national joint replacement registry for its advanced Total Hip and Total Knee Replacement (THKR) certification, effective July 1, 2019. The Disease Specific Care Performance Measurement (DSPM) standard DSPM.4, element of performance (EP) 2 will…

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Editor's Note In this study from the University of Pennsylvania School of Nursing, researchers developed, validated, and tested an algorithm called, “Discharge Referral Expert System for Care Transitions (DIRECT),” which helped clinicians identify patients most in need of post-acute care (PAC) and lowered readmission rates. The researchers conducted a 4-month…

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Editor's Note Excessive opioid prescribing was associated with higher postoperative opioid consumption in this study. In this analysis of 2,392 surgical patients, the quantity of opioids prescribed was significantly higher than opioid consumption, with patients reporting using only 27% of the opioids prescribed to them. Prescription size had the strongest…

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