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Same-Day Surgery – May 1, 2014

May 1, 2014

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  • When a serious adverse outcome occurs, expect scrutiny for what you say and do

    When a crisis occurs, such as the recent case of a 13-year-old being declared brain dead after an adenotonsillectomy, a medical facility must be careful in how it responds to avoid a negative public response as well as liability.
  • How to reduce risk for malpractice claim

    There are two key ways to reduce the risk for a malpractice claim: documentation and clear communication, says Carmen Lester, RN, JD, CPHRM, co-owner of Yin Yang Medical Services.
  • Cancellations reduced on day of surgery

    After a nurse-driven preoperative screening and assessment for reducing day-of-surgery (DOS) cancellations and other protocols were implemented in northeast Pennsylvania ambulatory surgery centers (ASCs), no-show cancellation rates were 120% higher in patients who did not have the preop screening and assessment done.
  • Crystal ball forecast for outpatient surgery

    Most of us are confused about where the opportunities lie in healthcare today. It is not uncommon to have friends ask if they should continue their plans to attend nursing school or surgical tech programs or whether they should even get into healthcare at all!
  • SSI rates low, but call for safer surgery remains

    Although the rates of serious surgical site infections (SSIs) following outpatient surgery are low, the number of patients who develop these serious infections is substantial and warrants continued quality improvement efforts because outpatient surgery is so common, according to a new study.
  • It’s one simple page that may save a few lives

    It seems benign enough, with its simple language and cartoon bugs, a piece of paper like so many others that might be handed to patients or family members upon admission. But make no mistake about it, the Association for Professionals in Infection Control and Epidemiology (APIC) has put some powerful medicine in the hands of vulnerable patients with a newly designed education handout.
  • AAAHC announces changes to standards

    One significant change to the standards for the 2014 handbook for the Accreditation Association for Ambulatory Health Care (AAAHC) addresses surgical procedures when performed under deep sedation.
  • Postop pain control linked to satisfaction

    Postsurgical pain scores were highly correlated with reports of overall patient satisfaction during healthcare stays in a new finding that was true for some types of surgery more than others. The researchers emphasized the importance of improving patient care in the perioperative setting in alignment with new federal requirements tying performance to pay.
  • 3 levels of care urged for peds surgery

    The American College of Surgeons (ACS) has published new comprehensive guidelines that define three levels of resources the nations surgical facilities need to perform operations effectively and safely in infants and children.
  • Website helps parents manage postop pain

    Once a child goes home after surgery, parents are left with little guidance on how to best help their children cope with pain.
  • AORN periop standards, RPs include ambulatory

    The 2014 edition of the Association of periOperative Registered Nurses (AORNs) Perioperative Standards and Recommended Practices includes new ambulatory supplemental information specific to ambulatory surgery centers.