Back to basics: How collaboration can improve PACU patient flow
Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…
Using project management principles to hardwire ERAS protocols
Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…
How prepared is your ASC to handle a surgical emergency?
Surgical errors and emergencies can happen at any time, at any facility. For ambulatory surgery centers (ASCs), a major challenge is finding official guidance on the topic. For the most part, it’s up to the individual facility to craft its own policies, competencies, and drills for OR emergencies. “The Association…
Use of internationally educated nurses in US hospitals
Editor's Note US hospitals with more internationally trained nurses have more stable, educated, nursing workforces, and collaboration among healthcare professionals is not hindered, this study finds. Researchers analyzed 2013 survey data from the National Database of Nursing Quality Indicators that included responses from 24,045 nurses (2,156 were trained outside the…
Specialists advise on coronavirus preparedness
Editor's Note Hospitals should prepare now for an influx of seriously ill patients infected with the new coronavirus (COVID-19), critical care specialists advised in a panel discussion February 17 at the Society of Critical Care Medicine’s annual congress in Orlando, Florida. A significant influx of seriously ill patients will put…
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…
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,…
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…
FDA monitoring coronavirus and its effect on supply chain
Editor's Note The Food & Drug Administration on February 14 announced that it is an active partner in the coronavirus (COVID-19) response. It is working closely with the Department of Health and Human Services and international counterparts to help diagnose, treat, and prevent the disease as well as surveil the…
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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