Editor's Note Frailty posed a higher risk of mortality in younger coronary artery bypass graft (CABG) patients than older patients, this Canadian study finds. In this analysis of 40,083 patients who underwent CABG surgery between 2008 and 2015, researchers found that frailty was associated with poor early and long-term postoperative…

Read More

Editor's Note Cybersecurity firm Cryptonite reports there were eight major healthcare data breaches in the first half of 2018, down from 19 during the same time in 2017, according to the July 18 Healthcare Informatics. However, the number of patient records breached this year was up, with more than 1.9…

Read More

Editor's Note In adults more than 70 years of age, exposure to general anesthesia and surgery was associated with a subtle decline in memory and thinking skills in this study. Of 1,819 patients in the Mayo Clinic Study of Aging, exposure to anesthesia after age 70 was linked to long-term…

Read More

Social and demographic factors play a huge role in any patient’s overall health and recovery from surgery. When treating patients who lack health insurance, family support, or language/literacy skills—among many other possible disadvantages—providing safe patient care can extend well beyond clinical aspects. OR managers and their staffs may take on…

Read More

Preadmission testing (PAT) has been shown to reduce day-of-surgery delays and unnecessary testing that drive up the cost of healthcare. But it takes time and patience to put an effective PAT process in place. Sharon Ulep, MBB, CMCA, CPHQ, principal for healthcare strategy and consulting, Plante Moran, Southfield, Michigan, who…

Read More

Not all hospitals have a preadmission testing (PAT) process, and even when they do, communication breakdowns and inefficiencies can make the process ineffective. Recognizing that the PAT process at Yale New Haven Hospital, New Haven, Connecticut, needed a makeover was the first step in launching an improvement project that led…

Read More

Hungarian obstetrician Ingvar Semmelweis recognized the link between hand washing and childbirth fever in the mid-1800s. During his lifetime, this theory was often ignored or mocked, but ultimately hand washing was scientifically proven to prevent infections. Almost two centuries later, hand washing still reigns as the queen of infection prevention,…

Read More

Janet Haas, PhD, RN, CIC, FSHEA, FAPIC, hopes technology will one day achieve what no other strategy has thus far: Increase the rate of hand hygiene compliance. Haas, president of the Association of Professionals in Infection Control and Epidemiology, says it will need to be a small device that does…

Read More

Editor's Note Preoperative opioid use was associated with significantly increased risks of early revisions and 30-day readmissions after total knee and total hip arthroplasties, this study finds. The study included 324,154 patients in a 1-year follow-up group and 159,822 in a 3-year follow-up group. For total knee patients, the hospital…

Read More

Editor's Note The Joint Commission on July 18 announced that it will implement several standards changes for fluoroscopy services in ambulatory care organizations, critical access hospitals, hospitals, and office-based surgery practices, effective January 1, 2019. The revisions clarify expectations and address areas of risk with imaging, and they include a…

Read More