FDA issues Class I recall of certain Medtronic ICDs, CRT-Ds
Editor's Note The Food and Drug Administration (FDA), on April 12, identified the recall of Medtronic’s Evera, Viva, Brava, Claria, Amplia, Compia, and Visia implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy defibrillators (CRT-Ds) as Class I, the most serious. The recall was initiated because of an unexpected and rapid…
The Joint Commission's safety alert supports removal of surgical smoke
Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…
First assistants bring expertise and efficiency to the OR table--Part 1
Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…
Studies assess use of Mako System in joint arthroplasty
Editor’s Note. This article presents value-based analyses on the use of Mako robotic technology in total knee, partial knee, and total hip arthroplasty. The authors are with Stryker Orthopaedics in Mahwah, New Jersey. Joint arthroplasty is an effective procedure to treat advanced osteoarthritis of the hips and knees. It…
Collaborative anesthesia providers can help boost OR performance
Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…
FDA recommends healthcare workers transition away from decontaminated N95 masks
Editor's Note The Food and Drug Administration (FDA), on April 9, sent a letter to healthcare providers recommending they “transition away from crisis capacity conservation strategies,” including disinfection and reuse of N95 masks. Though the FDA believes there is an adequate supply of N95s now to facilitate this transition, the…
Lack of exercise linked to a higher risk for severe COVID-19, death
Editor's Note This study from the department of family and sports medicine, Kaiser Permanente Medical Center, Fontana, California, finds that a lack of physical activity was strongly associated with a greater risk of severe COVID-19 and death. This analysis compares outcomes in 48,440 adults diagnosed with COVID-19 between January and…
The Joint Commission issues new Heads-Up Reports for first quarter 2021
Editor's Note The Joint Commission, on April 14, announced that new Heads-Up Reports for first quarter 2021 are now available for all accredited programs. The downloadable report is posted in the “Resources and Tools” section of an organization’s secure Joint Commission Connect extranet site. Each report identifies important topics or…
Public perspectives on who should be prioritized for COVID-19 vaccine
Editor's Note In this study from the University of Denver and the University of Pennsylvania, Philadelphia, respondents to two surveys agreed with the National Academies of Science, Engineering, and Medicine’s prioritization framework for COVID-19 vaccination. Of 4,735 respondents (2,730 to a Gallup survey and 2,005 to a COVID Collaborative survey):…
The Joint Commission issues Sentinel Event Alert on smart infusion pump safety
Editor's Note The Joint Commission, on April 14, issued Sentinel Event Alert 63: Optimizing smart infusion pump safety with DERS [dose error reduction software]. Though smart infusion pumps combine computer technology and drug libraries (stored in DERS) to limit the potential for dosing errors, errors still occur each year. Bypassing…
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