Our Take Distractions in the OR are associated with higher mental workload and stress and poorer teamwork among OR personnel, a study finds. The most prevalent distractions were those from external staff, followed by case-irrelevant conversations. Case-irrelevant conversations initiated by surgeons were associated with lower teamwork in surgeons and anesthesiologists. Equipment-related…
Our Take The University of Cincinnati Medical Center invested $6 million to upgrade an OR into a hybrid OR for heart and vascular procedures. The cost was about three times the cost of a non-hybrid OR. The 854 sq ft room includes $2.6 million in equipment and advanced medical imaging devices.…
Our Take In a study to gain insight into how nurse leaders are influencing the use of performance data to improve nursing care, two themes emerged: Getting relevant, reliable, and timely data into the hands of nurses The leaders' ability to “connect the dots” in working with different stakeholders. A…
Our Take In this study, functional capacity to perform activities of daily living was an independent predictor of postoperative mortality within each ASA class, indicating that it should be incorporated into routine preoperative evaluations. The likelihood for mortality was significantly lower for patients who were functionally independent than for those…
Our Take This article describes an “At Risk Care Plan,” the goal of which is to improve safety and quality care by anticipating individual safety and care needs of patients at risk and to communicate those needs to the health care team. This intervention has reduced hospital readmissions, costs, and…
The House Appropriations Committee has approved a draft budget for fiscal 2016 that would terminate funding for HHS' Agency for Healthcare Research and Quality. The proposal would also cut funding for the Centers for Medicare and Medicaid Innovation and Patient-Centered Outcomes Research Institute. Just last week, AHRQ announced plans to…
The Joint Commission, Department of Health Services Research, and researchers from Rhode Island Hospital and the Society for Healthcare Epidemiology of America are conducting a study that will provide estimates of the costs and benefits of Ebola preparedness to hospitals. For the study, a nationally representative sample of hospitals will be…
Patients who are readmitted after major surgical procedures have improved survival if they return to the same hospital where their surgery took place, finds a study. Readmission to the index hospital was associated with a 26% lower 90-day mortality risk than readmission to a non-index hospital. These findings may have…
Background: In an effort to measure and improve the quality of perioperative care, the Surgical Care Improvement Project (SCIP) was introduced in 2003. Methods: The authors retrospectively analyzed the electronic medical record data from 45,304 inpatients at a single institution to assess whether compliance with SCIP Inf-10 (body temperature management)…
ECRI Institute has released its second annual list of the “Top 10 Patient Safety Concerns for Healthcare Organizations.” Alarm hazards top the list, with data integrity second, and inadequate reprocessing of endoscopes and surgical instruments in eighth place. To compile the list, ECRI Institute reviewed its database of patient safety…
