7,860 results match your criteria AORN Journal[Journal]


Reprocessing Single-Use Devices in the Ambulatory Surgery Environment.

Authors:
Kerri Ubaldi

AORN J 2019 Apr;109(4):452-462

Reprocessing single-use surgical supplies and devices is an option for hospitals and ambulatory surgery centers (ASCs). The US Federal Government has recognized the practice since 2000, and regulatory oversight has increased dramatically since that time. Reprocessing single-use devices is safe when personnel use approved methods, and health care facilities can experience significant cost savings by participating in this type of initiative. Read More

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http://dx.doi.org/10.1002/aorn.12639DOI Listing
April 2019
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Guideline Implementation: Design and Maintenance of the Surgical Suite.

Authors:
Terri Link

AORN J 2019 Apr;109(4):479-491

The primary considerations for any health care facility construction or renovation project are the design and function of the new areas, assessment of environmental risks for airborne contamination, and containment of dust and moisture created during construction activities. Disruptions created by construction inside or outside a health care facility can increase airborne organisms, such as Aspergillus, that can lead to infections; thus, infection prevention and control are integral parts of construction planning. The AORN "Guideline for design and maintenance of the surgical suite" provides guidance to perioperative team members for developing a functional program to guide the construction/renovation project, use of evidence-based design principles, measures to contain construction-related dust and debris, and maintenance of utilities after planned or emergent utility failures. Read More

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http://dx.doi.org/10.1002/aorn.12628DOI Listing

20/20 Vision: Creating Our Future.

Authors:
Missi Merlino

AORN J 2019 Apr;109(4):425-426

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http://dx.doi.org/10.1002/aorn.12657DOI Listing

Guideline Quick View: Transmission-Based Precautions.

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AORN J 2019 Apr;109(4):529-536

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http://dx.doi.org/10.1002/aorn.12675DOI Listing

Safe Medication Management at Ambulatory Surgery Centers.

Authors:
Kerri Ubaldi

AORN J 2019 Apr;109(4):435-442

Safe medication management is an important aspect of preventing patient harm. Medication management in the ambulatory setting can be complicated because of state and federal regulations and requirements imposed by accrediting organizations. Ambulatory surgery center leaders should review their medication management programs internally to assess their comprehensiveness in terms of efficiency, meeting regulatory requirements, and keeping patients safe. Read More

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http://dx.doi.org/10.1002/aorn.12635DOI Listing
April 2019
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Did You Know?

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AORN J 2019 Apr;109(4):P13

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http://dx.doi.org/10.1002/aorn.12682DOI Listing

Reducing Specimen Errors.

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AORN J 2019 Apr;109(4):496-499

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http://dx.doi.org/10.1002/aorn.12658DOI Listing

The Role of Electronic Documentation in Ambulatory Surgery Centers.

AORN J 2019 Apr;109(4):444-450

Ambulatory surgery centers (ASCs) have been slow to adopt electronic documentation (ie, electronic health records [EHRs]) compared with other types of health care organizations. However, recent developments, including documentation requirement changes, storage and security needs, and competition for physicians and perioperative personnel, have spurred greater interest in this technology. Electronic documentation systems can help meet the clinical, financial, operational, and regulatory needs of ASCs. Read More

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http://dx.doi.org/10.1002/aorn.12636DOI Listing

A Costly Colonoscopy Leads to a Delay in Diagnosis.

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AORN J 2019 Apr;109(4):539-541

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http://dx.doi.org/10.1002/aorn.12637DOI Listing

Varicose vein ligation and stripping.

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AORN J 2019 Apr;109(4):P9-P11

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http://dx.doi.org/10.1002/aorn.12680DOI Listing

Assessment of Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) in an Asian Ambulatory Surgical Setting.

AORN J 2019 Apr;109(4):465-476

Communication and other nontechnical skills can affect the number of adverse events occurring in perioperative areas. Our study assessed the properties of the Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) used to assess nontechnical skills of scrub nurses in a diverse Asian ophthalmic ambulatory setting. We evaluated the content validation index, cultural equivalence index, concurrent validity, interrater reliability, test-retest reliability, internal consistency, and concurrent validity. Read More

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http://dx.doi.org/10.1002/aorn.12640DOI Listing

Challenges Facing the Ambulatory Surgery Center Market.

Authors:
Kerri Ubaldi

AORN J 2019 Apr;109(4):428-430

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http://dx.doi.org/10.1002/aorn.12656DOI Listing

Clinical Issues-April 2019.

AORN J 2019 Apr;109(4):508-516

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http://dx.doi.org/10.1002/aorn.12645DOI Listing

What's Coming in Future Issues.

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AORN J 2019 Apr;109(4):544

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http://dx.doi.org/10.1002/aorn.12674DOI Listing

Adjusting to a new leadership style.

Authors:
Keith Carlson

AORN J 2019 Apr;109(4):P12

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http://dx.doi.org/10.1002/aorn.12681DOI Listing

Clinical Issues-March 2019.

AORN J 2019 Mar;109(3):380-389

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http://dx.doi.org/10.1002/aorn.12627DOI Listing

Debriefing in the OR: A Quality Improvement Project.

AORN J 2019 Mar;109(3):336-344

Ineffective communication can contribute to perioperative adverse events even when a safety checklist is used. The purpose of this project was to improve the overall debriefing process of the surgical safety checklist. We included coaches and used the International Classification for Patient Safety for categorizing any opportunities for improvement that were identified during the debriefing process. Read More

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http://dx.doi.org/10.1002/aorn.12616DOI Listing
March 2019
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Transfusion Thresholds in Gastrointestinal Bleeding.

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AORN J 2019 Mar;109(3):418-420

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http://dx.doi.org/10.1002/aorn.12605DOI Listing
March 2019
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Perioperative Do-Not-Resuscitate Suspension: The Patient's Perspective.

AORN J 2019 Mar;109(3):326-334

Hospitalized patients with do-not-resuscitate (DNR) orders commonly require surgical procedures. When this occurs, the usual practice in our medical center is to suspend the DNR order during the perioperative period. Few studies provide the patient perspective regarding automatic DNR suspension. Read More

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http://dx.doi.org/10.1002/aorn.12612DOI Listing

Improving first case on-time starts.

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AORN J 2019 Mar;109(3):P11-P13

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http://dx.doi.org/10.1002/aorn.12653DOI Listing
March 2019
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The Effect of an Undergraduate Perioperative Nursing Course on Safety Knowledge.

Authors:
Cynthia L Danko

AORN J 2019 Mar;109(3):346-354

Despite national initiatives and ongoing efforts, keeping patients safe remains a challenge. Education is the key to preparing health care professionals to be able to prevent errors and provide safe patient care. In the past three decades, perioperative courses have been removed from nearly every nursing program in the United States, thereby eliminating the chance for students to learn nursing skills and concepts related to safety in the perioperative environment. Read More

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http://doi.wiley.com/10.1002/aorn.12613
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http://dx.doi.org/10.1002/aorn.12613DOI Listing
March 2019
5 Reads

Harmonized Care: Safety Recognized.

AORN J 2019 Mar;109(3):277-279

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http://dx.doi.org/10.1002/aorn.12631DOI Listing

What's Coming in Future Issues.

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AORN J 2019 Mar;109(3):422

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http://dx.doi.org/10.1002/aorn.12647DOI Listing

Bunionectomy.

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AORN J 2019 Mar;109(3):P14-P16

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http://dx.doi.org/10.1002/aorn.12654DOI Listing
March 2019
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A Practical Guide to Performance Improvement: Beginning the Process.

Authors:
Anthony Dawson

AORN J 2019 Mar;109(3):318-324

This article discusses the history and background of performance improvement (PI) processes and describes the creation of the foundational document for a PI project: the project charter. It is important for PI teams to create a complete charter before the project begins to give structure to the project. Teams involved in PI should use the charter as a roadmap for project completion because it helps to keep the team focused on issues within the scope of the project. Read More

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http://doi.wiley.com/10.1002/aorn.12614
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http://dx.doi.org/10.1002/aorn.12614DOI Listing
March 2019
8 Reads

Using the Chain of Command Effectively.

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AORN J 2019 Mar;109(3):367-369

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http://dx.doi.org/10.1002/aorn.12626DOI Listing

Did You Know?

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AORN J 2019 Mar;109(3):P17

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http://dx.doi.org/10.1002/aorn.12655DOI Listing

Regenerative Wound Surgery: Practical Application of Regenerative Medicine in the OR.

AORN J 2019 Mar;109(3):298-317

Chronic nonhealing wounds cause significant morbidity and mortality and remain a challenging condition to treat. Regenerative wound surgery involves operative debridement of wounds to remove dead and healing-impaired tissue and bacterial contamination and, subsequently, the application of regenerative medicine treatments to accelerate healing. Regenerative treatments aim to restore native tissue structure and function by targeting biological mechanisms underlying impaired healing. Read More

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http://dx.doi.org/10.1002/aorn.12615DOI Listing

Guideline Quick View: Packaging Systems.

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AORN J 2019 Mar;109(3):408-411

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http://dx.doi.org/10.1002/aorn.12644DOI Listing

An Environment of Trust.

Authors:
Laurie Saletnik

AORN J 2019 Mar;109(3):286-288

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http://dx.doi.org/10.1002/aorn.12633DOI Listing

Back to Basics: Minimally Invasive Surgery.

Authors:
Lisa Spruce

AORN J 2019 Mar;109(3):356-365

In the past 20 to 30 years, minimally invasive surgery (MIS) has become commonplace in almost all surgical specialties. The needs of the perioperative team and patients are different during MIS than during traditional open surgery. The equipment and instrumentation required to perform MIS are extensive and continue to evolve as new techniques are developed. Read More

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http://dx.doi.org/10.1002/aorn.12611DOI Listing
March 2019
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Understanding and Optimizing Tourniquet Use During Extremity Surgery.

AORN J 2019 Feb;109(2):171-182

Tourniquet use during extremity surgery is commonplace and a relatively safe practice. The surgical team's knowledge of the patient history, proper assessment, and indications and contraindications for and risks of tourniquet use can prevent unwanted outcomes. Exploration of these critical areas reinforces perioperative nurses' awareness and understanding of safe tourniquet use. Read More

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http://dx.doi.org/10.1002/aorn.12579DOI Listing
February 2019
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AORN Global Surgical Conference & Expo 2019 Speaker Interviews.

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AORN J 2019 Feb;109(2):164-168

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http://dx.doi.org/10.1002/aorn.12597DOI Listing
February 2019

A Phenomenographic Study of Swedish Nurse Anesthetists' and OR Nurses' Work Experiences.

AORN J 2019 Feb;109(2):217-226

In the complex OR environment, perioperative team members need to practice communication and teamwork to ensure safe, high-quality care. A lack of collaboration among professionals in the OR during surgery results in inefficiency, increased tension, and suboptimal patient care. The purpose of this study was to determine how nurse anesthetists and OR nurses experienced their work in the OR. Read More

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http://dx.doi.org/10.1002/aorn.12582DOI Listing
February 2019
5 Reads

Supporting patients undergoing bariatric surgery.

Authors:
Lisa Croke

AORN J 2019 Feb;109(2):P7-P9

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http://dx.doi.org/10.1002/aorn.12623DOI Listing
February 2019

The Key to Safety: Saving Lives.

AORN J 2019 Feb;109(2):149-151

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http://dx.doi.org/10.1002/aorn.12601DOI Listing
February 2019

Ensuring the Safe Use of High Alcohol-Based Skin Prep Solutions.

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AORN J 2019 Feb;109(2):241-243

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http://dx.doi.org/10.1002/aorn.12598DOI Listing
February 2019

OR Time and Sacral Pressure Injuries in Critically Ill Surgical Patients.

AORN J 2019 Feb;109(2):229-239

Critically ill patients are at risk for developing pressure injuries during operative and other invasive procedures. The purpose of this secondary analysis was to explore the relationship of OR time to sacral pressure injuries in critically ill patients using high frequency ultrasound as a method of assessment. The 41 participants examined in this study had both time in the OR and up to eight days of pressure injury data. Read More

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http://dx.doi.org/10.1002/aorn.12583DOI Listing
February 2019

What's Coming in Future Issues.

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AORN J 2019 Feb;109(2):274

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http://dx.doi.org/10.1002/aorn.12617DOI Listing
February 2019

Forum and House of Delegates Agenda.

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AORN J 2019 Feb;109(2):170

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http://dx.doi.org/10.1002/aorn.12606DOI Listing
February 2019

Pyloroplasty.

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AORN J 2019 Feb;109(2):P10-P12

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http://dx.doi.org/10.1002/aorn.12624DOI Listing
February 2019

Clinical Issues-February 2019.

Authors:
Erin Kyle

AORN J 2019 Feb;109(2):245-255

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http://dx.doi.org/10.1002/aorn.12602DOI Listing
February 2019

Special Thanks to the 2018 AORN Journal Authors.

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AORN J 2019 Feb;109(2):158-159

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http://dx.doi.org/10.1002/aorn.12599DOI Listing
February 2019