Tag: risk factors

How perioperative staff can combat human trafficking—Part 1

Human trafficking (HT) is a global public health crisis and one of the fastest growing criminal enterprises that grosses hundreds of billions of dollars annually, all of which are tax-free profits made off the sale of human cargo. And yet, research shows the problem is poorly understood or recognized among…

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By: Francine Bono-Neri, PhD, RN, APRN, PNP
August 28, 2024
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Bleeding risk should dictate strategy for managing patients on direct oral anticoagulants

JAMA (healthcare publication) Network logo

Editor's Note Clinicians managing surgical patients on direct oral anticoagulants (DOACs) should adopt a different approach depending on the procedure, according to research published August 12 in JAMA Network. Used to treat patients with atrial fibrillation and venous thromboembolism, DOACs must be managed effectively to minimize risks of bleeding, researchers…

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By: Matt Danford
August 28, 2024
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‘Surgical pause’ saving lives, expanding beyond VA hospitals

Editor's Note The “surgical pause”—a means of validating whether surgery is truly safe for patients deemed to be “frail” before starting a procedure—significantly reduces mortality rates and is changing practices at more than 50 Veterans Administration (VA) hospitals, the Pittsburgh Post-Gazette reported August 18. Developed by VA surgeons Daniel Hall…

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By: Matt Danford
August 27, 2024
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Study links patient mortality to low nurse staffing, overreliance on temporary hospital staff

JAMA (healthcare publication) Network logo

Editor's Note A recent study conducted across 185 hospital wards in England highlights the significant impact of nurse staffing levels and staff composition on patient mortality. Published August 19 in JAMA, the study analyzed data from over 626,000 hospital admissions between 2015 and 2020. It found that low staffing levels…

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By: Matt Danford
August 22, 2024
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Antibiotics gaining acceptance as potential alternative to pediatric appendectomy

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Editor's Note Evidence is mounting for the use of antibiotics as a valid alternative to surgery for acute appendicitis, including in pediatric cases, the Washington Post reported August 17. The article details how this treatment—described as a “dark secret” by one expert testifying to its use in the 1950s, prior…

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By: Matt Danford
August 21, 2024
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Anesthesiologists sound alarm on wildfire smoke, surgical outcomes

Editor's Note The rising frequency of wildfires has anesthesiologists concerned about potential for adverse surgical outcomes to exposed patients, according to an article in the Online First edition of Anesthesiology,  the peer-reviewed journal of the American Society of Anesthesiologists (ASA). As of an August 6 report from ASA, nearly 100…

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By: Matt Danford
August 9, 2024
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Study: Spinal fusion failure more likely for diabetic patients

Editor's Note Lumbar spinal fusion procedures are significantly more likely to fail in individuals with diabetes, according researchers at The University of Toledo. According to a July 9 EurekAlert! report on the study, published in JBMR Plus, diabetic patients are already known to have a higher risk of infection from…

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By: Matt Danford
August 6, 2024
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Study: Intraoperative DEX infusions effectively manage diabetes in cardiac surgery patients

Editor's Note Intraoperative infusion of dexmedetomidine (DEX) could help improve glycemic control and reduce insulin requirements in diabetic patients undergoing cardiac surgery, according to a July 25 article in Medical Dialogues. The article focuses on a prospective observational study published in the journal Annals of Cardiac Anesthesia. The study included…

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By: Matt Danford
July 29, 2024
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Data cast doubt on recommendation to delay weight-loss meds prior to surgery

Editor's Note A recent analysis of insurance claims data suggests weight-loss medications like Ozempic (semaglutide), Trulicity (dulaglutide), and other glucagon-like peptide-1 (GLP-1) receptor agonists do not increase risks associated with undergoing anesthesia. As reported April 22 in MedPage Today, these finding that contradicts a June 2023 recommendation from the American Society of…

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By: Matt Danford
April 29, 2024
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Unveiling ECRI’s 2024 Top 10 Patient Safety Concerns list

From integrating new technology to navigating shifts in care delivery and mitigating burnout, the most pressing challenges for healthcare organizations tend to be multifaceted problems that demand multifaceted solutions. For evidence of that, look no further than the Top 10 Patient Safety Concerns 2024 list from ECRI. For every risk…

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By: Heather David, MSN, CRNP, AGACNP-BC, CSSYB
April 19, 2024
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