Tag: Patient Safety

Lower patient-to-nurse ratios tied to better patient survival

Editor's Note This study from the UK found that a patient-to-nurse ratio of no more than six patients per nurse on medical wards was associated with 20% lower patient mortality than when each nurse was responsible for at least 10 patients. Results also showed a 17% reduction in mortality with…

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By: Judy Mathias
February 11, 2016
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EHR associated with fewer in-hospital adverse events

Editor's Note Pneumonia, cardiovascular, and surgery patients whose treatments were entered into a fully electronic health record (EHR) were between 17% and 30% less likely to experience in-hospital adverse events, this study finds. Among the findings: Pneumonia patients had 35% lower odds of adverse drug events, 34% lower odds of…

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By: Judy Mathias
February 10, 2016
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Robotically assisted hysterectomy patients more likely to need follow-up care

Editor's Note Women who had robotically assisted hysterectomies were 24% to 32% more likely to return to the hospital for follow-up care, including readmission, emergency department care, or an outpatient department procedure, finds this study. Common reasons for follow-up care included: surgical complications hospital-acquired infections postoperative pain pulmonary embolisms digestive…

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By: Judy Mathias
February 10, 2016
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Joint Commission: Surgical errors top 2015 sentinel events

Editor's Note The Joint Commission on February 9 posted sentinel event-related data reported from accredited organizations. The top five types of sentinel events reported in 2015 were: Unintended retention of a foreign body (116 events) Wrong-patient, wrong-site, wrong-procedure (111 events) Falls (95 events) Suicide (95 events) Op/postop complication (76 events).…

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By: Judy Mathias
February 10, 2016
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Johns Hopkins approved for first HIV-positive organ transplants

Editor's Note Johns Hopkins Hospital, Baltimore, is the first and only center in the US to be approved by the United Network for Organ Sharing to perform HIV-positive to HIV-positive organ transplants. The hospital will be the first in the nation to do an HIV-positive to HIV-positive kidney transplant and…

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By: Judy Mathias
February 9, 2016
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PSH initiative demonstrates measurable impact on quality, costs

Editor's Note The American Society of Anesthesiologists and Premiere on February 9 announced results from the first phase of the Perioperative Surgical Home (PSH) learning collaborative. The collaborative included 44 healthcare organizations that piloted and evaluated the PSH model from July 2014 through November 2015. Many members of the collaborative…

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By: Judy Mathias
February 9, 2016
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Surgical patients at Denver hospital possibly exposed to HIV, hepatitis

Editor's Note Denver's Swedish Medical Center is asking some 2,900 surgical patients to get tested for HIV, hepatitis B, and hepatitis C after finding that an OR employee may have stolen narcotics, the February 3 Denver Post reports. Surgical technologist, 28-year-old Rocky Allen worked in the OR from August 17,…

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By: Judy Mathias
February 8, 2016
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Rates of lab tests before low-risk surgical procedures

Editor's Note Depending on which hospital a patient goes to for a low-risk surgical procedure, he or she may be 2.4 times more or less likely to be sent for preoperative blood work, this study finds. Researchers found that overall, unnecessary preoperative lab tests (eg, complete blood count, blood clotting…

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By: Judy Mathias
February 5, 2016
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Effect of surgical safety checklist on 90-day outcomes

Editor's Note Implementation of a surgical safety checklist was associated with a statistically significant 27% reduction in 90-day all cause postoperative mortality, while 30-day mortality remained unchanged in this study. The checklist was also associated with a reduction in length of stay but not 30-day readmission rates. This is the…

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By: Judy Mathias
February 4, 2016
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New clinical practice guideline on postop pain management

Editor's Note The American Pain Society, American Society of Regional Anesthesia and Pain Medicine, and the American Society of Anesthesiologists have issued a new guideline on the “Management of Postoperative Pain.” The guideline provides recommendations that address aspects of postoperative pain management, including: preoperative education perioperative pain management planning use…

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By: Judy Mathias
February 3, 2016
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