Site marking is an essential part of the preoperative process to prepare the surgical patient. Currently, surgical associations mandate a time-out to verify the correct surgical site and surgery,[1,2] which is meant to eliminate wrong-site surgery.[3–5] According to the Joint Commission, site marking should be within the surgical field after draping and that the time-out be performed just before surgical incision.
Preventable medical errors are a critical driver of healthcare costs, both in human and financial terms, so it's in everyone's best interest to improve systems and processes. Quality is always less expensive; government payers and health plans have recognized this and are holding providers accountable by refusing to pay for "never events" such as wrong-site surgery and healthcare-acquired infections.
The difference between a good total joint and a great total joint replacement is initially small, but over time the difference can be significant. A good total joint might last 10 years, but a great total joint could last 30 years. Being a total joint surgeon is a profession with little or no room for error in every single hand movement.
Should there be a premium added to physician compensation for on-call coverage after hours, or are Medicare rates enough? This appears to be the central question between two competing hospitals in Longview, Texas where a $300,000 stipend was paid to a cardiology group by one hospital and not the other for cardiology on-call coverage.
Surgical Products talks with Joan Blanchard of AORN about the importance of hand hygiene and a new initiative to engage and recognize nurses around the country for exemplary hand hygiene compliance. To raise awareness of the deadly risks associated with poor hand hygiene and encourage best practices among nurses and other healthcare professionals, the Association of periOperative Registered Nurses (AORN) and 3M Infection Prevention have joined in an initiative to reduce the risk of healthcare-associated infections (HAIs) in the surgical setting.
Top 10 lists are back! I forgot about this kind of post, and a reminder by a reader is bringing them back. They are really a fun and easy kind of post to write, so you may see a fair number of them (read: Rob is getting lazy). I thought I’d start back with some suggestions for disgruntled patients (or gruntled ones, for that matter) to make their doctor’s day much worse.
Surgeons do not typically receive training in the areas of leadership, communication and teamwork. A recent study finds standardized training in these areas could be a valuable tool to improve teamwork among surgical teams. November 16, 2009 Senior surgical residents at Christiana Care, an ACS-verified Level 1 trauma center in Newark, DE, are responsible for leading the trauma activations at the facility.
Sleep deprivation can negatively impact a surgeon’s performance. A recent study examined the effect available pharmacological stimulants have in countering the consequences of long work hours. November 18, 2009 Sleep deprivation of surgeons can lead to negative effects of the surgical performance and has the potential to hinder patient safety.
Integrating your surgical suite can be a large project. While there are many considerations and decisions to make, here is a list of some of the important factors to think about when it comes to OR integration … November 17, 2009 As surgical procedures advance, the needs of surgeons and surgical teams are changing.
By: Dr. Val Published: There hasn’t been much discussion about serious tort reform in the current healthcare reform debate. That’s probably because most policy experts don’t believe it will make a significant dent in healthcare costs. I happen to believe that tort reform would be a huge boon for healthcare (just ask Ob/Gyns in Texas) and save a lot in defensive medicine practices and unnecessary testing, but even if I’m wrong and it wouldn’t result in cost-savings, there’s another issue at play: access to primary care physicians.
By: Michael Smith Published: Almost every story I write from a medical meeting carries a warning that says, in essence, don't take this for gospel. We at MedPage Today take some care about that. Not that we're especially prone to error (although we can all nod off from time to time) but we want to make sure readers recognize the tentative nature of presentations at medical meetings.
By Pauline W. Chen, M.D. Published: In my medical school class of 140, Kerry was one of the best and the brightest. Gregarious, unassuming and a dedicated fitness buff with a weakness for ice cream, she managed to sail through the weekly exams that most of us struggled with during the first two years.
By: Dr. Rob Published: PLACE OF OCCURRENCE, HOME ICD-E849.0 6:00 AM Alarm goes off. Hit snooze button. CIRCADIAN RHYTHM SLEEP D/O IRREG SLEEPWAKE TYPE ICD-327.33 6:30 Alarm goes off for third time. Ready to hit snooze button, but knee in ribs from wife prevents more snooze button procrastination.
Throughout a surgical procedure, patients are at risk for complications. Once a patient has made it through the procedure and the surgical site has been properly closed, the risk for complications still continue. Infection at the site of the surgical wound is among one of the most common and dangerous post-operative complications a patient faces.
By: Kristina Fiore Published: It seems that rumors among patients are flying faster than the 40-mph winds here in Miami that the swine flu vaccine can kill you. I've had at least two acquaintances in the last week send me warnings about death from the H1N1 vaccine. Another friend sent a frantic email after three different pediatricians refused to give it to her sister's newborn.