Tag: Safety

Cardiology services: The next wave in ASCs?

Many experts see cardiovascular (CV) care as the next wave in ambulatory surgery centers (ASCs), and a hybrid office-based lab (OBL)/ASC model is gaining momentum across the country. Robert J. Zasa, MSHHA, FACMPE, president and CEO of Ambulatory Systems Development, LLC, in Incline Village, Nevada, sees the hybrid arrangement as…

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By: Jennifer Lubell
May 17, 2019
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Leapfrog Group: More than 160,000 preventable deaths occur in hospitals each year

Editor's Note A study published May 15 by the Leapfrog Group finds that more than 160,000 preventable deaths occur in US hospitals annually, a decline of about 56,000 from 3 years ago. The Leapfrog Group uses hospital performance on 16 patient safety measures to assign hospital grades. Of the 2,620…

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By: Judy Mathias
May 16, 2019
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Adherence to ERAS protocols associated with fewer postop complications

Editor's Note An increased in adherence to Enhanced Recovery after Surgery (ERAS) protocols was associated with a decrease in postoperative complications in this study. Of 2,084 patients analyzed, 566 had moderate to severe postoperative complications. The number of patients with moderate to severe complications was lower in the ERAS group…

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By: Judy Mathias
May 13, 2019
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CDC: Hepatitis A infections up nearly 300%

Editor's Note In the May 10 Morbidity and Mortality Weekly Report, the Centers for Disease Control and Prevention reported that hepatitis A infections were up 294% in 2016-2018, compared with 2013-2015. The increases are related to outbreaks among homeless people, men who have sex with men, people who use drugs,…

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By: Judy Mathias
May 13, 2019
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Association between nurse work environment and outcomes

Editor's Note The nurse work environment is associated with the quality of nursing care, nurse job outcomes, patient outcomes, and patient satisfaction, this study finds. This meta-analysis of 17 articles that reported data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients, in 22 countries found consistent, significant…

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By: Judy Mathias
May 2, 2019
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Improving hand hygiene compliance among anesthesia providers

Editor's Note Education and monitoring of hand hygiene among anesthesia providers in the OR improved hand hygiene compliance in this study from the Duke University School of Nursing, Durham, North Carolina. Anesthesia providers were educated on the World Health Organization’s five indications for hand hygiene, and their access to hand…

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By: Judy Mathias
April 29, 2019
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Imagining the unimaginable: Preparing for mass casualty

The Centers for Medicare & Medicaid Services (CMS) and the Joint Commission require healthcare facilities to have policies and protocols in place for emergency situations and to hold regular practice drills. With natural disasters like hurricanes, floods, or fires, often there is at least some warning—some amount of time to…

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By: Elizabeth Wood
April 22, 2019
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Conference keynote puts compassion at the heart of patient care

Compassion fatigue can come into play at any stage of nurses’ careers. Nursing is growing at a faster rate than other occupations, but it carries a high risk for burnout. Loss of job satisfaction, job-related distress, or perhaps exposure to too many traumatic events can threaten the ability of staff…

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By: Elizabeth Wood
April 22, 2019
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Expect the unexpected: How we recovered operations after Hurricane Harvey

Whatever your facility’s disaster management plan, it needs continual refinement to account for the differences between imagined and real scenarios. Hurricane Harvey, which hit Houston hard on Saturday, August 26, 2017, is a case in point. The storm brought more than 60 inches of rain within a couple of days,…

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By: Elizabeth Wood
April 22, 2019
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'Coming clean' in the SPD requires collaboration and competency—Part 2

Contaminated surgical instruments pose a danger to patients and to an organization’s bottom line. In Part 1 of this two-part series, we discussed prevention strategies (OR Manager, April 2019, 14-15, 19). In Part 2, the focus is on investigating potential contamination, along with design considerations.   Detective work Despite best…

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By: Cynthia Saver, MS, RN
April 22, 2019
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