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June 2013 Vol 97 No 6 • AORN Connections | C3© AORN, Inc, 2013
AORN Connections is the news section of the AORN Journal, providing expert perspectives and in-depth coverage on perioperative news topics. Each month AORN Connections includes news and feature stories related to health care policy, management, technology, implementation of safe practices, and other perioperative practice issues.
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AORN Connections is published monthly as part of the AORN Journal by AORN, the Associa-tion of Perioperative Registered Nurses. Copyright © 2013 AORN, Inc. All rights reserved.
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HOSPITAL PERFORMANCE
Nurse communication important metric for VBP paymentsAccording to a study by
Press Ganey Associates, Inc., improving communication between nurses and patients could affect 15 percent of hospitals’ value-based purchasing (VBP) incentive payments. Based on analysis of more than 3,000 U.S. acute care hospitals, the report, “The Rising Tide Measure: Communication with Nurses,” indicates that the “Communication with Nurses”
dimension of the Hospital Consumer Assessment of Health Care Providers and Systems survey is closely tied to overall hospital performance, and thus, can affect VBP payments and other Centers for Medicare & Medicaid Services payments. “Communication with Nurses” is one of eight dimensions that fall under the “Patient Experience of Care” domain, which determines 30 percent of hospitals’ VBP incentive payments.
Read more at: http://www.pressganey.com/pressRoom/13-05-07/Press_
Ganey_Study_Finds_Nurse_Communication_a_Rising_Tide_Measure.aspx.
PATIENT OUTCOMES
Study shows anesthesia type affects orthopedic surgical outcomes
According to a study published in Anesthesiology, the use of regional anesthesia was associated with fewer postoperative complications and lower mortality rates than general anesthesia in patients undergoing primary hip or knee replacement. Using data from
News iN Brief Continued on C4
2011 ASHPE AWARD WINNER
2012-2013 news aDvisory grouPJennifer Bragdon, MSN, MTS, RN, CPN, CNOR, Periop Educator Cambridge Health Alliance
Terry Chang, MD, JD, Associate General Counsel and Director Legal & Medical Affairs, AdvaMed
Kathleen Corrigan, RN, Staff Nurse Children’s Hospital Boston
Mark Duro, CRCST, FCS, Manager Central Sterile Processing Department, New England Baptist Hospital
stella Harrington, BSN, RN, CNOR, Level II Nurse Children’s Hospital Boston
Coleen Heeter, MBA, BSN, RN, Vice President of Operations Surgical Care Affiliates
Marcie Janetti, BSN, RN, CNOR, Staff Nurse, Clinical Scholar Jersey Shore University Medical Center
Donna w. Laney, BSN, RN-BC, Board Certified Nurse Informatics, Quality Analyst McKesson
Julie Moyle, MSN, RN, Consultant 1x1 Consulting
Pauline robitaille, MSN, RN, CNOR, Nursing Director Operating Room, Brigham and Women’s Hospital
shelly satterthwait, MHSA, RN, CNOR, Director of Surgical Services Bozeman Deaconess Hospital
Pegi wasserman, BSN, RN, ACS NSQIP Perioperative Clinical ReviewerAdvocate Illinois Masonic Medical Center
Jane wick, BSN, RN, Surgical Services Nurse Shriners Hospital for Children Portland
C4 | AORN Connections
approximately 400 U.S. hospitals over a four-year period, the study examined whether spinal or epidural anesthesia resulted in improved patient outcomes in 382,236 cases of primary hip or knee replacement. Study results showed that compared to general anesthesia, neuraxial anesthesia had an 80 percent lower 30-day mortality rate, a 30 percent lower risk of prolonged length of hospital stay and increased patient costs, and a 30 to 50 percent lower risk of major complications.
Read more at: http://www.newswise.com/articles/view/601577/?sc=mwhp.
PATIENT SAFETY
CDC urges U.S. health care providers to be on alert for H7N9 virus
Although China is the only country to report human cases of infection with avian influenza A (H7N9), the Centers for Disease Control and Prevention (CDC) encourages U.S. health care professionals to be on alert and prepared for the virus in light of its unknown potential for a global pandemic. Containment measures by Chinese authorities may be contributing to the decline in newly reported H7N9 cases in China, though the death toll continues to rise as infected patients face complications.
According to the May 15 report from the Center for Infectious Disease Research and Policy, Minneapolis, there have been 131 lab-confirmed cases and 36 deaths related to the virus. The CDC is asking U.S. health care providers to consider H7N9 infection in individuals with acute febrile respiratory illness and who may have been exposed to the virus.
Read more at: http://www.aafp.org/online/en/home/publications/news/news-now/health-of-the-public/20130516h7n9.html.
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