Editor's Note A new Sentinel Event Alert from The Joint Commission focuses on the continuing dangers of surgical fires, why they occur, and how to take preventative measures. The alert was issued on October 18. Some highlights include: There is no national repository collecting data on surgical fires, and little…

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Editor's Note The Joint Commission has released a new Quick Safety Issue to call attention to the serious risks inherent with pressure injuries. "Quick Safety Issue 70: Early identification and evaluation of severe pressure injuries" was published on October 9. The following are some highlights: Pressure injuries can be caused…

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Editor's Note Data from The Joint Commission on sentinel events—events that result in patient death or serious harm—for the first half of 2023 are out and look to be on par with last year’s all-time high numbers, Becker's Clinical Leadership October 2 reports. Data from 2022 showed events rising to…

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Editor's Note The Joint Commission, on May 24, announced that it is seeking comments on new infection control (IC) requirements for hospitals and critical access hospitals on preparedness for high-consequence diseases or special pathogens. These new requirements will replace the current standard IC.01.06.01 on preparing for an influx of potentially…

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Editor's Note The Joint Commission’s Ambulatory Buzz on April 24 published five precautionary tips for ambulatory surgery centers (ASCs) to implement in order to “respond quickly and effectively” to emergencies during outpatient surgery. They are: Establish a culture of safety. Prior to a surgical procedure, conduct a comprehensive physical examination…

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Editor's Note A study led by researchers at Icahn School of Medicine in Mount Sinai, New York, finds use of a timed storage and dispensing device for bulk-packaged electrocardiography (ECG) electrodes significantly improves compliance. The study included seven operating rooms (ORs) that used a bin with an automated countdown timer…

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Editor's Note This study, published in The Joint Commission Journal on Quality and Patient Safety, analyzes 68 closed claims cases on wrong-site surgery from 2013 to 2020. The services most frequently responsible for these cases were: Orthopedics (35.3%) Neurosurgery (22.1%) Urology (8.8%). The most common types of procedures involving wrong-site…

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Editor's Note A quality improvement study led by clinicians at the Mayo Clinic in Jacksonville, FL, improved clinical alarm management skills and reduced alarm fatigue and desensitization among nurses in a surgical intensive care unit. The study included 115 direct-care nurses working full-time, modified full-time, or part-time schedules in a…

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Editor's Note The Joint Commission, on April 4, released its Sentinel Event Data 2022 Annual Review, which covered serious adverse events from January 1 through December 31, 2022. There were 1,441 sentinel events reported in 2022, a 19% increase over 2021, and a 78% increase over 2020, with COVID-19 continuing…

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Editor's Note New safety considerations for using validated suicide risk screening tools related to implementation and training were released by The Joint Commission on March 27. When working with patients at risk of suicide, screening tools can help determine appropriate treatment options and whether further assessment is needed. However, it…

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