Tag: Quality

Changes in use of bariatric surgery from 1993 to 2016

Editor's Note The safety of bariatric surgery has improved since 1993, and there has been a growth in the number of bariatric procedures performed, this study finds. However, utilization has only marginally increased. Of an estimated 1,903,273 patients who had bariatric surgery between 1993 and 2016, the mean age was…

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By: Judy Mathias
January 14, 2020
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Royal Philips issues urgent safety alert for fluoroscopy system

Editor's Note Royal Philips has issued an urgent field safety notice for its CombiDiagnost R90 GCF fluoroscopy system, the January 10 MassDevice reports. When the tilting feature is used, the device could be locked in a “Table Up/Down” state, an issue that could result in the entry of contrast agent…

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By: Judy Mathias
January 14, 2020
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Trends in robotic surgery for common procedures

Editor's Note This study finds that robotic surgery increased dramatically from 2012 to 2018 and has diffused widely across a broad range of common procedures. This trend was associated with a decrease in the use of open and laparoscopic minimally invasive procedures. In this analysis of 169,404 patients in 73…

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By: Judy Mathias
January 13, 2020
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Reinvent and reap the rewards of improved handoffs--Part 2

An effective handoff helps ensure care transitions are safe and efficient, but achieving the ideal handoff can be challenging. Part 1 of this two-part series provided an overview of the role of handoffs in the perioperative setting (OR Manager, January 2020, 22-23, 25). This article offers best practices for successful…

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By: Cynthia Saver, MS, RN
January 13, 2020
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Develop standard work for successful ERAS implementation

At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that emphasizes “…maximize[ing] customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources,” according to the Lean Enterprise Institute.1 Several…

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By: OR Manager
January 13, 2020
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FCOTS increase through smarter scheduling and surgeon accountability

Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…

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By: Judith M. Mathias, MA, RN
January 13, 2020
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Study supports value of nurses with specialty certifications

Editor's Note In this study, specialty certification was associated with greater professional identity in ICU nurses and higher perceptions of knowledge of and value in evidence-based practices, whereas education level was not. Of 268 respondents from six hospitals and 12 adult ICUs in an integrated health system, 71% had a…

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By: Judy Mathias
January 9, 2020
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2020 designated Year of the Nurse

Editor's Note The World Health Organization (WHO) has designated 2020 as the International Year of the Nurse and the Midwife, in honor of the 200th birth anniversary of Florence Nightingale. WHO and its partners are leading a year-long effort to celebrate the work of nurses and midwives, highlight the challenging…

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By: Judy Mathias
January 9, 2020
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Relationship between patient falls and levels of nursing education, certification

Editor's Note Higher levels of nursing education and more certified nurses improved the number of patient falls in this study. Using data from the National Database of Nursing Quality Indicators from 2010 to 2016 from medical centers in Central and Southern Illinois, researchers found that with every 1-unit increase in…

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By: Judy Mathias
January 9, 2020
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Gallup Poll rates nurses highest for honesty, ethics

Editor's Note For the 18th year in a row, US adults taking the Gallup Poll rated nurses highest among professionals for honesty and ethics. In the survey, 85% of respondents rated nurses’ honesty and ethical standards as “very high” or “high,” similar to 2018. The top five also included engineers…

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By: Judy Mathias
January 9, 2020
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