12-year analysis of nonbattle injuries in US service members
Editor's Note Approximately one-third of casualties during the Iraq and Afghanistan wars resulted from nonbattle injuries (NBIs), this study finds. In this analysis of 29,958 casualties (battle injuries and NBIs), NBIs caused 34.1% of total casualties and 11.5% of all deaths. Rates of NBIs were higher among women than men…
Study: Staying up all night disrupts blood protein levels
Editor's Note Working the night shift and sleeping during the day for just a few days can disrupt levels and time-of-day patterns of more than 100 proteins in the blood (ie, plasma proteomes), this study finds. Six healthy men volunteers in their 20s spent 6 days in the clinical translational…
ECRI Institute research helped guide FDA report on medical device servicing
Editor's Note The ECRI Institute on May 21 announced that it had provided conclusive research to help guide the Food and Drug Administration’s (FDA) new “FDA Report on the Quality, Safety, and Effectiveness of Servicing of Medical Devices.” The FDA report, which addresses concerns about the quality of service provided…
Managing patient and family disruption in the perioperative setting--Part 1
Disruption in the perioperative setting occurs across a continuum ranging from verbal outbursts to physical violence. “We live in an increasingly violent society, and we need to take measures to educate and prepare nurses and other team members to be safe,” says Margo Halm, PhD, RN, NEA-BC, associate chief executive,…
Editorial
Societal problems in recent years have placed increasing burdens on healthcare workers. With the increase in mass casualty victims, people displaced by natural disasters, and drug or alcohol addicts, it’s not uncommon to experience disruptive patients or families of patients who arrive at the facility under a great deal of…
Working overtime associated with less collaboration between nurses and physicians
Editor's Note In this study, working overtime negatively influenced nurse-nurse and nurse-physician collaboration. Survey data from 24,013 nurses in 957 units from 168 hospitals in the National Database of Nursing Quality Indicators showed that one third of nurses work beyond their scheduled shifts. One hour of overtime was associated with…
Effect of ambient OR temperature on patient temperature
Editor's Note Ambient intraoperative OR temperature had a negligible effect on core temperature when patients were warmed with forced air in this study. The effect was larger when patients were passively insulated, but the magnitude remained small. A total of 292 adult patients were randomized to ambient temperatures 19º, 21º,…
Allowing overlapping surgery for urgent neuro cases decreases length of stay
Editor's Note A change of policy to allow the practice of overlapping surgery for urgent neurosurgical procedures in a tertiary care, safety-net hospital significantly reduced length of stay, in this study presented May 1 at the American Association of Neurological Surgeons in New Orleans. Of 452 cases analyzed (201 in…
ACS advocates for a consensus strategy on preventing firearm violence
Editor's Note In an effort to bridge political differences and provide a constructive path forward, leaders of the American College of Surgeons (ACS) Committee on Trauma on April 19 released a set of strategies to reduce firearm-related injury, disability, and death by making ownership of firearms as safe as possible.…
Parents’ vs surgeons’ expectations during concurrent pediatric surgery
Editor's Note In this study, a significant mismatch was found between parents’ and pediatric surgeons’ expectations on the role of the surgeon on the day of surgery, with parents expecting more direct involvement by the attending surgeon. A total of 110 parents and 84 pediatric surgeons and surgical residents completed…
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