Effectiveness of government actions, country preparedness, socioeconomic factors on COVID-19 mortality, health outcomes
Editor's Note: Rapid border closures, full lockdowns, and wide-spread testing were not associated with statistically significant reductions in number of critical cases or overall COVID-19 mortality; however, they were significantly associated with increased patient recovery rates, this study of 50 countries finds. Increasing COVID-19 caseloads were associated with countries with…
Nimble response required to combat COVID-19 surges
Spikes in coronavirus cases starting in late June threatened to overwhelm hospitals in several states. Utah is one such state, but steps previously taken at Intermountain Healthcare in Salt Lake City suggest the 23-hospital system will be able to manage a surge. Leaders at Inova Health System in Falls Church,…
Data mining yields tool to predict OR staffing needs
Staffing to a block duration can be inefficient. Uncontrolled variables such as increased case complexity and unexpected staff absences can cause chaos. Leaders from Penn Medicine—Pennsylvania Hospital in Philadelphia used data analytics to measure the efficiency of matching staffing against an optimized OR schedule, which allowed them to predict staffing…
Pandemic pressures include recruiting and retaining OR staff
Recruiting and retaining OR nurses is harder than ever in the COVID-19 era. Many healthcare facilities are reconstructing their surgical case schedules after the mandatory pause in elective procedures, and some are still on hold. OR leaders are focused largely on guiding staff through the crisis and working toward a…
Preoperative protocols enhance outpatient total joint outcomes
On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…
Investigation of COVID-19 nosocomial infections identifies close contact, not airborne transmission as cause
Editor's Note This investigation, by researchers at the University of California-Davis Medical Center, of the pattern of transmission of COVID-19 during two nosocomial outbreaks finds that close contact between patients and healthcare workers (HCWs) not airborne transmission was the cause of the outbreak. Two separate patients were admitted in February…
Coordinated COVID-19 response helped ‘flatten the curve’ in Washington State
Editor's Note A regional, coalition-guided, multifaceted approach that engaged healthcare systems, long-term care facilities, state and local governments, and organizations to rapidly respond to the COVID-19 outbreak, kept Washington State’s death rate the lowest of all states with major outbreaks, this study finds. Six key factors helped “flatten the curve:”…
Different timetables, similar challenges seen in elective surgical caseloads
Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…
Taming bullies requires courage, commitment, and consistent effort
Bullying and incivility have long been pervasive in healthcare, particularly in nursing. Additional stressors related to COVID-19 have worsened things in many facilities. “When there’s a crisis, we see the best in people and the worst,” says Renee Thompson, DNP, RN, CSP. “On social media, we’re seeing a lot of…
Agile, data-driven strategy for managing the OR after COVID-19
As state authorities begin to ease restrictions imposed by COVID-19, physicians, nurse leaders, and administrators face a momentous challenge: resuming elective surgical procedures that have been postponed for several weeks or months. How will they accommodate the looming glut of elective surgery demand with limited infrastructure and staff who are…
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