Editor's Note Use of a standardized, electronic nursing handoff communication process resulted in decreased boarding time in the emergency department (ED) and increased bed flow efficiency, this study finds. Before implementation of the electronic nursing handoff process, the average ready to move-to-occupied time was 83.6 minutes. This decreased to 49…

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Editor's Note A deal has been signed by Olympus with FlexDex Surgical to distribute its wrist-controlled Needle Driver robotic device, the August 23 Medical Design & Outsourcing reports. The FlexDex Needle Driver, which is used to streamline suturing in areas of the abdomen that are hard to access, will complement…

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Editor's Note This year’s three winners of the Design by Biomedical Undergraduate Teams (DEBUT) challenge included assistive surgical devices: First place−$20,000 went to a team from Johns Hopkins University, Baltimore, for a minimally invasive brain retractor. Second place−$15,000 was awarded to a team from Clemson University, South Carolina, for a…

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Editor's Note A safe and efficient postoperative telemedicine program is feasible using a commonly used electronic health record system (Epic), and it can improve patient satisfaction, optimize throughput, and increase revenue, this pilot study finds. After researchers constructed an eClinic platform in Epic, they enrolled 233 patients having laparoscopic cholecystectomy,…

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Editor's Note A blood management program at Johns Hopkins using a hemoglobin transfusion threshold of 7 g/dl in orthopedic surgical patients reduced blood use by 32.5% and resulted in similar or improved outcomes. Improved outcomes were primarily in patients 65 years of age or older. For this study, researchers evaluated…

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Editor's Note Hospitals participating in Medicare’s Comprehensive Care for Joint Replacement model or its Bundled Payments for Care Improvement initiative for lower extremity joint replacement episodes report reducing skilled nursing facility (SNF) use and improving care coordination, in this survey. Interviews of executives or administrators in each of 22 hospitals…

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Editor's Note In this study, implementation of Lean interventions to redesign the workflow in the preoperative holding area of a large urban medical center was linked to significantly improved rates of elective first case on-time starts. Data from 23,891 surgical procedures performed over 415 days were examined−86 days before, 35…

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Editor's Note A new enhanced recovery after surgery (ERAS) pathway has been developed and implemented at the University of Alabama at Birmingham to enhance recovery after cesarean delivery. Updated guidelines for the ERAS pathway include: Intake of water and clear sports drinks before surgery to keep mother hydrated. Walking after…

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Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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Editor's Note The Joint Commission on July 31 announced a new performance measure, “PC-06 Unexpected Complications in Term Newborns,” effective January 1, 2019. The new measure will be added to the five measures already required for accredited hospitals with at least 300 live births per year. PC-06 requires hospitals to…

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