Violence is a fact of life in healthcare settings. The Occupational Safety and Health Administration estimates that, on average, healthcare workers are four times as likely to be victimized as those in private industry. Most types of violent incidents involve patients or visitors acting out against staff, accounting for 93%…

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Editor's Note The Joint Commission announced on April 17 that the April issue of Quick Safety focuses on drug diversion and examines patterns and trends that could indicate drug diversion. It also offers safety actions organizations can take and describes how to take the mistakes other hospitals have made and…

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Editor's Note A hospital’s safety culture may influence certain surgical patient outcomes, finds this study. A Safety Attitudes Questionnaire (SAQ), sent to administrators, quality improvement teams, nurses, anesthesiologists, and surgeons in 49 hospitals participating in the Illinois Surgical Quality Improvement Collaborative, found that OR safety culture had the highest scores…

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Editor's Note Patients admitted to the hospital for procedures that would not be expected to require admission (ie, low-value procedures) are being harmed, consuming additional hospital resources, and delaying care for patients for whom the services would be appropriate, this Australian study finds. In this analysis of 9,330 episodes of…

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Editor's Note The increased use of tourniquets, blood transfusions, and reduced time to surgical treatment (ie, within 1 hour) were the main factors that reduced mortality 44.2% during military conflicts in Afghanistan and Iraq, this study finds. From October 2001 through December 2017, survival increase three-fold among the most critically…

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Editor's Note The Food & Drug Administration on March 26 said it will take steps to address potential medical product and device shortages because of the recent closure of a large contract sterilization facility, Sterigenics (Willowbrook, Illinois). Earlier this year, the Illinois Environmental Protection Agency issued an order to stop…

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Editor's Note Educating anesthesia providers on the World Health Organization’s five indications for hand hygiene, increasing access to hand hygiene products in the OR, and monitoring  hand hygiene among anesthesia providers can improve hand hygiene compliance, this study finds. Hand hygiene was observed in three phases: Preimplementation, postimplementation, and 60…

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Editor's Note The risk of hand contamination was higher when healthcare workers (HCWs) removed their gloves before their gowns during personal protective equipment (PPE) doffing, and HCWs who made multiple PPE doffing errors were more likely to have contaminated clothes after patient interactions, this study finds. In this analysis of…

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Attendees at the annual OR Manager Conference have enjoyed the opportunity to ask experienced OR leaders questions about difficult managerial and clinical issues. The popularity of these “Ask Me Anything” sessions reflects the hunger for knowledge about how things are handled in ORs around the country, and they will be…

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Contaminated surgical instruments made ECRI Institute’s 2019 annual top 10 list of health technology hazards, coming in at number five: “Mishandling flexible endoscopes after disinfection can lead to patient infections.” Number two on the list in 2018 was “Endoscope reprocessing failures continue to expose patients to infection risk.” It’s not…

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