Same-Day Surgery – April 1, 2004
April 1, 2004
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2 children’s deaths after surgery raise concerns about safe medication use
At an Oklahoma hospital, two children died within a few days of each other after having routine outpatient surgical procedures. One child died from toxic effects of morphine with a probable primary myopathy as a contributing cause, and the other child died from probable codeine and morphine toxicity, along with acute and chronic bronchitis with evolving pneumonia, according to the autopsy reports. -
New JCAHO survey process addresses medication errors
In light of so many providers having difficulty meeting the standard of care for medication administration, the Joint Commission on Accreditation of Healthcare Organizations is taking action. -
Three credentialing steps help ensure competency
In this second part of a two-part series on new technology, we discuss how to handle credentialing in this story and how to respond to errors. -
When an accident occurs, don’t make these mistakes
Sometimes, despite your best efforts, an accident occurs with new technology and a patient is injured or dies. Surprisingly, one of the most common mistakes that providers make is insufficient investigation or lack of response to an error so that it is repeated, says Bruce C. Hansel, PhD, executive director of forensic services at ECRI. -
Same-Day Surgery Manager: Improve your relationship with anesthesia services
I have had several individuals contact me regarding a past article in which I mentioned that the service that administrators find the most difficult to work with is anesthesia. Since I wrote that article, I have tried to understand from where the problems arise. After further conversations with the original group and others, especially anesthesia personnel, it appears that many of the problems same-day surgery programs are having result from poor communication. -
Advice on turning your OR into a sharps safety zone
Major advances in reducing sharps injuries have not yet pervaded the OR, where one out of four sharps injuries takes place, but there are some simple steps that same-day surgery managers can take to promote safety, sharps safety experts say. -
After 8 patient deaths, FL moratorium announced
Florida surgeons cannot perform liposuction and abdominoplasty procedures on the same patient within 14 days of each other as a result of a 90-day moratorium imposed by the Florida Board of Medicine on Feb. 11, 2004. -
Medicare announces new surgery center rates
The Centers for Medicare & Medicaid Services has announced these rates for ambulatory surgery center groups, effective April 1, 2004. -
Patient Safety Alert Supplement
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SDS Accreditation Update: You’re writing more as abbreviations disappear
Old habits are hard to break, and the Joint Commission on Accreditation of Healthcare Organizations is asking same-day surgery staff members to break some habits theyve had since nursing and medical school. National Patient Safety Goal No. 2 requires health care organizations to standardize abbreviations, acronyms, and symbols and to develop a list of do-not-use abbreviations. -
SDS Accreditation Update: AAAASF changes its anesthesia requirements
Reports of adverse events, including the death of a cosmetic surgery patient, after administration of propofol by RNs have resulted in a change in anesthesia standards for some organizations accredited by the Gurnee, IL-based American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). -
SDS Accreditation Update: Joint Commission OKs third PPR option
A third option to the Periodic Performance Review (PPR) has been approved by the Joint Commission on Accreditation of Healthcare Organizations. Earlier this year, Joint Commission created two options to the self-conducted midcycle review for organizations that may be concerned about the discoverability of PPR information shared with the Joint Commission. -
SDS Accreditation Update: Unannounced surveys will focus on these areas
The 2004 fixed performance areas that will be addressed in random unannounced surveys conducted by the Joint Commission on the Accreditation of Health Organizations will be organized by critical focus areas instead of performance categories as in the past.