Substance abuse in the OR: Why managers should not ignore it
The first of two articles. Cecil King, RN, MS, CNOR, is a perioperative advanced practice nurse at Sinai Hospital in Baltimore. King is an outgoing, knowledgeable nurse. He’s a mover and shaker in the...
View ArticleSubstance abuse in the OR: Saving lives through treatment, prevention
The second of two articles. To outside observers, Mary Jones, RN, lived a charmed life: She was married to a bank owner, had 3 lovely children, and lived in a beautiful home overlooking a park....
View ArticleWhen an MD has a substance abuse problem
Somebody’s going to get hurt.” It took that statement for one OR director to get administration and the medical staff to take action when an anesthesiologist was abusing cocaine. “They had been...
View ArticleDrug diversion in the OR: How can you keep it from happening?
It’s every OR manager’s nightmare—a drug diversion that hits the local news. That nightmare came true for 2 Colorado facilities—Rose Medical Center in Denver and Audubon Surgery Center in Colorado...
View ArticleSurgical patients at Denver hospital possibly exposed to HIV, hepatitis
At this time, no patient infections have been found Posted: 02/03/2016 12:54:29 PM MST Updated: 02/04/2016 07:52:35 AM MST Swedish Medical Center is asking about 2,900 patients to get tested for HIV,...
View ArticleShoulder surgery new testing ground for opioid alternatives
A common shoulder surgery has become a testing ground for some novel painkilling techniques as doctors seek to reduce the use of prescription narcotics known as opioids. Rotator-cuff surgery, which...
View ArticleBurnout increases after patient safety incident
Background: Human errors occur everywhere, including in health care. Not only the patient, but also the involved health professional is affected (ie, the "second victim"). Objectives: To investigate...
View ArticleNew protocol helps identify signs of burnout
Executive Summary Stress causes absenteeism and burnout; but how can you tell if a colleague or an employee is at risk from severe stress? You can use a checklist based on the APGAR scoring system, a...
View ArticleLong-term opioid use rarely starts with surgery
This review of data from the Military Health Data Repository examines causes of sustained prescription opioid use. More » The post Long-term opioid use rarely starts with surgery appeared first on OR...
View ArticleJoint Commission issues R3 Report on pain assessment and management standards...
(OAKBROOK TERRACE, Illinois - August 30, 2017) - Every day, 91 Americans die from an opioid overdose, according to the U.S. Department of Health & Human Services. As part of a national effort to...
View ArticleOpioid-free general anesthesia reduces postop nausea
Editor’s Note Eliminating opioids from general anesthesia is safe and effective and significantly decreases postoperative nausea, finds this study presented October 23 at the Anesthesiology 2017 annual...
View ArticleBariatric surgery patients at risk for new prolonged opioid use
Editor’s Note Bariatric surgery patients have a much higher rate of newly persistent postoperative opioid use than general surgery patients, finds this study presented October 23 at the American...
View ArticleViolence in healthcare facilities–Know your risks
Violence is much more common in healthcare than in other industries, and although many violent events in healthcare are perpetrated by patients, a notable percentage are not. Individuals other than...
View ArticleECRI Institute PSO sheds light on opioid use in acute care
Opioids are the second most frequent class of medications to cause adverse drug reactions in hospitalized patients, trailing only loop diuretics. ECRI Institute recently published new data about this...
View ArticleEditorial
Statistics like these are in the news nearly every day, and there is increasing pressure on lawmakers and healthcare providers to restrict use of the drug and find alternatives for pain management...
View ArticleOR leaders feel the pain of the opioid crisis
The OR isn’t exempt from the effects of the opioid crisis. Identifying patients taking opioids is part of OR clinicians’ responsibilities, and they also play an important role in preventing opioid More...
View ArticleOpioid abuse, dependence increases postop readmissions
Editor’s Note Opioid abuse or dependence after major surgical procedures was associated with increased readmission rates and healthcare utilization. Of 16,016,842 patients in the National Readmission...
View ArticleFDA statement on access to opioids for patients with chronic, end-of-life pain
Editor’s Note Food & Drug Administration (FDA) commissioner, Scott Gottlieb, MD, on July 9 issued a statement on balancing access to appropriate treatment for patients with chronic and end-of-life...
View ArticleStudy: Prevalence of preop opioid use and patient characteristics
Editor’s Note In this study of 34,186 surgical patients in the University of Michigan Health System, 23.1% were taking opioids preoperatively, and the use of opioids was associated with a more negative...
View ArticleCDC: Naloxone use by emergency medical services up 75% in 4 years
Editor’s Note Naloxone administration by emergency medical services increased 75.1% between 2012 and 2016, mirroring a 79.7% increase in fatal opioid overdoes during the same time period, according to...
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