Can experience in the OR improve patient care in the postsurgical inpatient setting? Beginning last year, the OR at Temple University Hospital, Philadelphia, started its first Periop 101 program and trained six nurses from postsurgical care units to be perioperative nurses. During the program, the former care unit nurses found…

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Many healthcare organizations have adopted Lean processes to save money, improve workflow, and reduce waste. But it’s not just process change that drives success. It’s the individuals—especially those on the front lines—who work together to identify problems and solutions. It’s also ongoing efforts to sustain changes once they have been…

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Mandatory implementation of the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) originally scheduled for 2018 has been delayed, but that does not mean it should be ignored, say ambulatory surgery center (ASC) leaders. The earliest projected date when the survey could become mandatory…

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Editor's Note The Joint Commission on October 17 announced that it is seeking public comment on three draft electronic Patient Blood Management (ePBM) performance measures: PBM-01 Preoperative Anemia Screening  PBM-03 Preoperative Blood Type Testing and Antibody Screening  PBM-04 Initial Transfusion Threshold. The Joint Commission is looking at options for using…

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Editor's Note The Perioperative Surgical Home (PSH) model of care was successful in improving quality of care and outcomes in elderly hip fracture patients and children having cardiac surgery in two studies presented October 14 at the Anesthesiology 2018 annual meeting in San Francisco. One study compared 308 hip fracture…

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Editor's Note In this study, a preoperative, patient-centered wellness program significantly reduced hospital acquired infections in surgical patients at an academic medical center. A total of 12,396 surgical patients were given a wellness bundle in a roller bag during preoperative screening. The bundle included chlorhexidine bath solution, immuno-nutrition supplements, an…

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Editor's Note The Joint Commission announced October 10 that accredited, deemed-status ambulatory surgery centers (ASCs) will no longer be required to collect data on medical necessity and appropriateness of procedures (PI.01.01.01, EP 21), effective July 1, 2019. The Joint Commission developed the performance improvement (PI) standard to align with the…

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Editor's Note In this study, the composition of the anesthesia care team (anesthesiologist plus nurse anesthetist or anesthesiologist assistant) was not associated with any significant differences in mortality, length of stay, or inpatient spending. Of 443,098 Medicare beneficiaries who had inpatient surgery between 2004 and 2011, the adjusted mortality for…

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Editor's Note The Joint Commission on October 3 announced that key updates are now available for its 2019 ORYX performance measurement program reporting requirements. The Joint Commission continues to align its performance measure reporting requirements with the Centers for Medicare & Medicaid Services, which published its 2019 Inpatient Prospective Payment…

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Editor's Note In this multicenter, randomized controlled trial from the Netherlands, physical therapy was noninferior to early arthroscopic partial menisectomy for improving knee function in patients with nonobstructive meniscal tears. In this analysis of 321 (159 surgery, 162 physical therapy) patients, knee function improved by 20.4 points in the physical…

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