Tag: Performance Improvement

Prioritizing patient safety unites and empowers OR team—Part 2

Several never events at The Medical Center of Aurora (TMCA) in Aurora, Colorado, over a 1-year period prompted leaders there to launch patient safety first (PSF) initiatives. Part 1 of this series discussed how these initiatives were identified and implemented, and the importance of evidence-based communication tools (OR Manager, March…

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By: Iris Llewellyn
March 15, 2019
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No increased risk of complications after ambulatory total joint procedures

Editor's Note There were no increased risks of complications or readmissions after total hip replacements (THRs) and total knee replacements (TKRs) performed in a community-based ambulatory surgery center (ASC), finds this study reported in a Poster Session March 14 at the American Academy of Orthopaedic Surgeons in Las Vegas. A…

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By: Judy Mathias
March 14, 2019
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ACDF can be performed safely in outpatient setting

Editor's Note Removal of multiple herniated or degenerative discs in the neck, known as anterior cervical discectomy and fusion (ACDF), can be safely performed in an outpatient setting, finds this study presented March 13 at the American Academy of Orthopaedic Surgeons in Las Vegas. Of 103 patients included in the…

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By: Judy Mathias
March 14, 2019
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IV and oral acetaminophen work equally well after THA

Editor's Note Intravenous (IV) acetaminophen did not result in a significant difference in pain scores, opioid consumption, or opioid-related adverse events compared with oral acetaminophen, finds this study presented March 12 at the American Academy of Orthopaedic Surgeons Annual Meeting in Las Vegas. A total of 154 patients having total…

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By: Judy Mathias
March 13, 2019
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Discharging surgical patients earlier in the day linked to LOS, hospital throughput

Editor's Note A 12-month targeted initiative to discharge surgical patients earlier was associated with a 50% increase in patients being discharged by noon in this study. The initiative, which included preoperative and inpatient components: increased discharge by noon rates from 14.3% to 21.5% decreased length of stay (LOS) from 2.17…

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By: Judy Mathias
March 11, 2019
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Bacterial contamination of white coats, surgical scrubs

Editor's Note Provider attire is a potential source of pathogenic bacterial transmission in healthcare settings, this review study finds. A total of 22 articles were included in this analysis, which found that provider attire was commonly colonized by multidrug-resistant organisms (MDROs), with white coats laundered less frequently than scrubs. The…

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By: Judy Mathias
March 11, 2019
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Haven is new name for Amazon-backed healthcare venture

Editor's Note The healthcare organization founded by Amazon, Berkshire Hathaway, and JP Morgan Chase announced on March 6 its new name−Haven−along with the launching of its new website www.havenhealthcare.com. The website outlines some of the areas where Haven intends to make improvements on the current healthcare system, including access of…

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By: Judy Mathias
March 7, 2019
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Unnecessary UTI testing cut by 45%

Editor's Note Making a simple change to the electronic system used by physicians to order urine tests can cut by 45% the number of bacterial cultures ordered without compromising the identification of patients who need treatment for urinary tract infections (UTIs), this study finds. In this analysis of 18,954 patients…

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By: Judy Mathias
February 25, 2019
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Mortality rates lower in areas with more primary care physicians

Editor's Note Communities in the US with more primary care physicians had lower mortality rates than those with fewer physicians, this study finds. Results showed a: 51.5 day increase in life expectancy for every 10 additional primary care physicians per 100,000 people 19.2 day increase in life expectancy for every…

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By: Judy Mathias
February 21, 2019
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Surgical transfer unit allows patients to bypass ED

There are few things more disheartening for patients than having to board in the emergency department (ED) for long periods while waiting for a bed. ED boarding can also delay treatment and adds to overcrowding and backups. Erlanger Health System, based in Chattanooga, Tennessee, decided to tackle this problem head…

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By: Catherine Spader, RN
February 20, 2019
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