Narrow Results Clear All
Search results for "Policies and Operations"
- Logistical Approaches
- Policies and Operations
Journal Article > Study
Sun E, Mello MM, Rishel CA, et al; Multicenter Perioperative Outcomes Group (MPOG). JAMA. 2019;321:762-772.
Scheduling overlapping surgeries has raised substantial patient safety concerns. However, research regarding the impact of concurrent surgery on patient outcomes has produced conflicting results. In this multicenter retrospective cohort study, researchers examined the relationship between overlapping surgery and mortality, postoperative complications, and surgery duration for 66,430 surgeries between January 2010 and May 2018. Although overlapping surgery was not significantly associated with an increase in mortality or complications overall, researchers did find a significant association between overlapping surgery and increased length of surgery. An accompanying editorial discusses the role of overlapping surgery in promoting the autonomy of those in surgical training and suggests that further research is needed to settle the debate regarding the impact of overlapping surgery on patient safety.
Journal Article > Review
Gartland RM, Alves K, Brasil NC, et al. Am J Surg. 2019;218:181-191.
This systematic review of the safety of overlapping surgery included 14 studies and did not find differences in 30-day mortality or overall morbidity in overlapping versus nonoverlapping surgery across a range of procedures. Researchers noted a small increase in length of procedure for overlapping surgeries. They conclude that overlapping surgery does not lead to higher risk for morbidity and mortality, despite the controversy associated with this practice.
Journal Article > Review
Cornes M, Ibarz M, Ivanov H, Grankvist K. Diagnosis (Berl). 2019;6:33-38.
Common blood sample errors, such as mislabeling or patient misidentification, can contribute to diagnostic delays. This review highlights the importance of using open-ended questions to gather information from patients and suggests that specimens be labeled with the patient present to ensure accurate verification. A WebM&M commentary explored problems associated with mislabeled blood samples.
Perspectives on Safety > Perspective
with commentary by Jane Ball, PhD, and Peter Griffiths, PhD, Nursing and Patient Safety, March 2018
This piece explores how missed nursing care may explain the association between low nurse staffing levels and increased mortality in hospital patients.
Journal Article > Commentary
Singh H, Vij MS. Jt Comm J Qual Patient Saf. 2010;36:226-232.
This article details specific principles for developing organizational policies to improve test-result communication.