Editor's Note A Hawaii statewide collaborative for surgical patient safety successfully reduced colorectal surgical site infections (SSIs) and improved patient safety culture, finds this study. Between January 2013 and June 2015, Hawaii’s 15 hospitals implemented the Agency for Healthcare Research and Quality’s (AHRQ’s) Comprehensive Unit-based Safety Program (CUSP) in addition…
Editor's Note Surgeon preference for bouffant versus skull caps does not have a significant effect on surgical site infection (SSI) rates, after accounting for procedure type, this study finds. Of 1,543 procedures analyzed, surgeons wore bouffant caps in 39% and skull caps in 61% of cases. Overall, SSIs occurred in…
Editor's Note Implementation of stringent OR attire policies that included full coverage of ears and facial hair did not reduce surgical site infection (SSI) risks in this study. Researchers compared American College of Surgeons National Surgical Quality Improvement Program data of all patients undergoing surgical procedures 9 months before implementation…
Editor's Note Movement in the OR is associated with microbial load, this study finds. Researchers determined areas in the OR with high and low numbers of people in transit and placed air samplers and settle plates in representative locations during 21 surgical procedures, in four ORs, during two seasons of…
Editor's Note Strictly enforcing a ban on skullcaps in the OR had no impact on surgical site infection (SSI) rates in this study, presented at the annual Academic Surgical Congress in Jacksonville, Florida. The analysis included American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) data on 1,901…
Editor's Note A new smartphone app called “WoundCare” is successfully letting patients send images of their surgical wounds to nurses for monitoring, this study finds. The goal of the app, developed by researchers from the Wisconsin Institute of Surgical Outcomes Research, University of Wisconsin, Madison, is earlier detection of surgical…
Editor's Note Surgeon’s cloth skull caps that expose small amounts of the ears and hair are not inferior to bouffant disposable hats that cover those features, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego and published online October 26 in…
Editor's Note The Joint Commission on October 25 announced a new Sentinel Event Alert video on Preventing Unintended Retained Foreign Objects, also known as retained surgical items (RSIs). The new video with Erin Lawler, a human factors engineer from the Joint Commission, explains how to maximize safety in the OR…
Editor's Note The California Department of Public Health (CDPH) on August 31 issued 10 penalties to 10 California hospitals along with fines totaling $618,002. Of these, three applied to the OR: Loma Linda University Medical Center, Murrieta−a patient sustained a full thickness thermal burn injury to the left calf from…
Editor's Note The Joint Commission on September 20 posted sentinel event statistics from its database through June 30, 2017. Of the top 10 most frequently reported sentinel events during this time period: Falls topped the list with 49 events. Unintended retention of a foreign object was 3rd with 41 events.…