Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.13999
Sean J Balagna, Craig Boyd, Donald E Arnold, Corey A Wagner, Dionysios K Veronikis, Mary Short, Jessica Butler, Shannon Marquart
{"title":"Implementing a Bundle to Improve Surgical Site Infection Rates for Patients Undergoing Nonvaginal-Approach Hysterectomy at a Midwestern Teaching Hospital.","authors":"Sean J Balagna, Craig Boyd, Donald E Arnold, Corey A Wagner, Dionysios K Veronikis, Mary Short, Jessica Butler, Shannon Marquart","doi":"10.1002/aorn.13999","DOIUrl":"https://doi.org/10.1002/aorn.13999","url":null,"abstract":"<p><p>Accrediting organizations, third-party payers, and patients review the surgical site infection (SSI) rates of health care organizations. Infection preventionists collaborate with perioperative personnel to decrease SSI rates; they also monitor and report SSI information to national organizations. The standard infection ratio is a comparison of the observed number of SSIs to the predicted number of SSIs based on national benchmark data. Leaders of a midwestern teaching hospital convened an interdisciplinary team (eg, surgeons, perioperative leaders, infection preventionists) to address a standard infection ratio after hysterectomies that was greater than 1.0. The team reviewed national guidelines and published articles on decreasing SSIs (including recommendations for vaginal preparation) before developing and implementing a hysterectomy-specific bundle for SSI prevention. The rate of SSIs decreased 68% after the implementation of the bundle. Perioperative personnel at this facility continue to use the bundle and infection preventionists monitor and report compliance with the bundle's elements.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"240-248"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41173776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.14001
Jennifer Speth
{"title":"Guidelines in Practice: Minimally Invasive Surgery.","authors":"Jennifer Speth","doi":"10.1002/aorn.14001","DOIUrl":"https://doi.org/10.1002/aorn.14001","url":null,"abstract":"<p><p>During minimally invasive surgery (MIS), surgeons create small and percutaneous incisions to access internal structures without open surgical incisions. Some MIS equipment is complex and challenging for perioperative nurses to manage. Patients also can experience life-threatening complications during MIS procedures. The updated AORN \"Guideline for minimally invasive surgery\" provides recommendations that perioperative nurses can use when caring for patients undergoing MIS procedures. This article provides an overview of the guideline and discusses several recommendations, including creating a safe environment in which to perform MIS procedures; using gas distension media, irrigation and fluid distension media, and computer-assisted navigation and robotics; and performing intraoperative magnetic resonance imaging in a hybrid OR. It also includes a scenario describing care of a patient undergoing a hysteroscopy. Perioperative nurses who care for patients undergoing MIS procedures should review the guideline in its entirety and apply the recommendations as applicable in their practice.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"250-257"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.14006
{"title":"Maximizing the Effectiveness of Value Analysis.","authors":"","doi":"10.1002/aorn.14006","DOIUrl":"10.1002/aorn.14006","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"258-260"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.14007
Elizabeth S Pincus
{"title":"Making Your Mark With Self-Care.","authors":"Elizabeth S Pincus","doi":"10.1002/aorn.14007","DOIUrl":"https://doi.org/10.1002/aorn.14007","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"205-207"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41106744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.14016
{"title":"Best Practices for Preventing Contact Between Fuels and Ignition Sources.","authors":"","doi":"10.1002/aorn.14016","DOIUrl":"https://doi.org/10.1002/aorn.14016","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"P11"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41120413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.14000
Sara M Reese
{"title":"Optimizing the Relationship Between Perioperative Personnel and Infection Preventionists to Reduce Surgical Site Infections.","authors":"Sara M Reese","doi":"10.1002/aorn.14000","DOIUrl":"https://doi.org/10.1002/aorn.14000","url":null,"abstract":"<p><p>Prevention of surgical site infections (SSIs) is a critical aspect of ensuring positive patient outcomes. One of the challenges of SSI prevention is the communication barrier between perioperative staff members and infection preventionists (IPs), which may lead to frontline staff members who are primarily responsible for infection prevention being unaware of pertinent hospital SSI data. To overcome this challenge, IPs and perioperative staff members should develop a partnership that facilitates the sharing of feedback on SSI case review data and effective key performance indicators. A partnership also can help engage perioperative staff members in quality improvement efforts and increase collaboration with IPs. Perioperative leaders should identify effective methods to improve data transparency, SSI case reviews, audit and feedback programs, and education for perioperative team members. A strong perioperative-IP partnership and increased sharing of data in accessible formats may improve engagement and interest in SSI prevention.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"224-231"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174843","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.14017
{"title":"60 Years of AORN Journal: 2008-2012.","authors":"","doi":"10.1002/aorn.14017","DOIUrl":"https://doi.org/10.1002/aorn.14017","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"212-213"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41155501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2023-10-01DOI: 10.1002/aorn.14004
Kathleen McMullen
{"title":"There Is no \"I\" in Team…but There Should Be an IP!","authors":"Kathleen McMullen","doi":"10.1002/aorn.14004","DOIUrl":"https://doi.org/10.1002/aorn.14004","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"118 4","pages":"208-209"},"PeriodicalIF":0.9,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41159387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}