Editor's Note A safe and efficient postoperative telemedicine program is feasible using a commonly used electronic health record system (Epic), and it can improve patient satisfaction, optimize throughput, and increase revenue, this pilot study finds. After researchers constructed an eClinic platform in Epic, they enrolled 233 patients having laparoscopic cholecystectomy,…

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Editor's Note Though the effects of healthcare associated infections (HAIs) vary, patients recount similar experiences in this review study. A total of 17 studies from 5 countries addressing 5 types of HAIs were analyzed: Methicillin-resistant Staphylococcus aureus, surgical site, Clostridium difficile, Staphylococcus aureus bloodstream, and extended-spectrum β-lactamase-producing bacterial infections. Four interrelated themes emerged:…

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The Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients© (Munro Scale) has made great strides in the past year. The tool, which assesses patients’ risk levels at each phase of surgery (preoperative, intraoperative, and postoperative), is available from AORN. Cassendra Munro, MSN, RN, CNOR, developed the Munro Scale and…

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As healthcare strives to become an industry of high-reliability organizations, identifying problems proactively is key. ECRI Institute’s annual Top 10 Patient Safety Concerns for Healthcare Organizations list highlights looming patient safety challenges and offers resources for addressing them. In selecting this year’s list, ECRI Institute relied on data regarding events…

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Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…

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Editor's Note A blood management program at Johns Hopkins using a hemoglobin transfusion threshold of 7 g/dl in orthopedic surgical patients reduced blood use by 32.5% and resulted in similar or improved outcomes. Improved outcomes were primarily in patients 65 years of age or older. For this study, researchers evaluated…

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Editor's Note The Food & Drug Administration (FDA) on August 17 issued a Safety Alert for SynCardia Systems’ (Tucson, Arizona) Temporary Total Artificial Heart Companion 2 Driver System. Final results from a post-approval study indicate higher mortality and stroke rates for patients initially supported with the C2 Driver System compared…

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Editor's Note Interventions at the physician or organizational level (eg, workflow changes) were found to be better tools for creating change in postoperative opioid prescribing than interventions at the patient level (eg, patient education), in this review. This analysis of eight studies published after 2000 that included 2,272 patients found…

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Editor's Note Preliminary data, reported August 15, by the Centers for Disease Control and Prevention show that drug overdose mortality in the US hit record high levels last year, increasing to more than 72,000 deaths. The increase in mortality was driven mainly by fatalities involving fentanyl and other synthetic opioids.…

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Editor's Note Led by Martin A. Makary, MD, MPH, a Johns Hopkins panel of experts developed the nation’s first set of opioid prescribing guidelines for 20 common surgical procedures in 8 surgical specialties. The guidelines are based on the premise that opioid prescribing should be based on the surgical procedure…

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