Tag: Quality Improvement

Using smartphones to capture patient differences in postop physical recovery

Editor's Note Metrics derived from smartphone accelerometer data can capture differences in postoperative physical recovery in surgical patients, this study finds. In this analysis of 62 patients, smartphone accelerometer data showed decreases in daily exertional activity in 17 who experienced a postoperative event (eg, complication, reoperation) up to 6 weeks…

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By: Judy Mathias
February 20, 2020
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Joint Commission: Texas hospital earns first Primary Heart Attack Center certification

Editor's Note The Joint Commission announced February 19 that the Texas Health Harris Methodist Hospital in Fort Worth has been awarded the first Primary Heart Attack Center (PHAC) certification by the Joint Commission and American Heart Association. The certification standardizes and improves coordinated systems of care for identification, assessment, monitoring,…

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By: Judy Mathias
February 20, 2020
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Association of geriatric-specific characteristics with postop readmissions

Editor's Note In this study from the University of Virginia, new geriatric-specific characteristics were found to raise the risk of elderly surgical patients having unplanned readmissions within a month of leaving the hospital. The four geriatric-specific risk factors for readmission include: cognitive impairment requiring another person to sign the patient’s…

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By: Judy Mathias
February 19, 2020
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Effect of AI early warning system for intraoperative hypotension

Editor's Note The use of an artificial intelligence (AI) early warning system, compared with standard care, resulted in less intraoperative hypotension in this preliminary study. This single-center, preliminary study from the Netherlands, which included 68 patients (intervention group, 34 and control group, 34) having elective noncardiac surgery, found that application…

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By: Judy Mathias
February 18, 2020
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AORN releases COVID-19 tool kit

Editor's Note AORN on February 14 released a new coronavirus (COVID-19) tool kit to support OR decision-making for the safety of healthcare workers and patients. The toolkit includes: World Health Organization updates Centers for Disease Control & Prevention updates ECRI Institute-Coronavirus Outbreak Preparedness Center resources Journal of the American Medical…

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By: Judy Mathias
February 18, 2020
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Association between ERAS and postop complications after total hips and knees

Editor's Note Increased adherence to an Enhanced Recovery After Surgery (ERAS) protocol after total hip arthroplasty (THA) and total knee arthroplasty (TKA) was associated with a decrease in postoperative complications in this study from Spain. However, only a few interventions were linked to decreased complications In this analysis of 6,146…

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By: Judy Mathias
February 13, 2020
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FDA: Coronavirus hasn’t led to drug, device shortages, but situation fluid

Editor's Note The Food & Drug Administration (FDA) Commissioner Stephen Hahn says there have been no drug or medical device shortages reported in the US so far amid the coronavirus outbreak, but the situation remains fluid, the February 7 Politico reports. The FDA has pulled its inspectors from China, and…

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By: Judy Mathias
February 12, 2020
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Association of LVAD vs IABP with mortality, bleeding

Editor's Note The use of an intravascular microaxial left ventricular assist device (LVAD) vs an intra-aortic balloon pump (IABP) in patients with acute myocardial infarction (AMI) complicated by cardiogenic shock was associated with worse in-hospital clinical outcomes in this study. Of 3,360 propensity-matched patients undergoing percutaneous coronary intervention for AMI,…

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By: Judy Mathias
February 11, 2020
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Aviation-style, large-screen computerized checklist operated by anesthesia provider improves performance

Editor's Note The implementation of an aviation-style computerized surgical safety checklist displayed on a large, centrally located screen and operated by the anesthesia provider improved checklist performance in this study. A total of 671 cases were observed before and 547 cases after implementation of the computerized checklist system. The proportion…

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By: Judy Mathias
February 10, 2020
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Trends in infection prevention practices in VA hospitals

Editor's Note From 2005 to 2017, use of 12 infection prevention practices significantly increased in US Veterans Affairs (VA) hospitals, and the adoption of many practices was higher than in non-VA hospitals, this study finds. A total of 320 surveys were completed by infection preventionists in VA hospitals. Between 92%…

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By: Judy Mathias
February 6, 2020
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