lunes, 23 de enero de 2017

Hospital goes low, high tech to ensure patient safety |

Hospital goes low, high tech to ensure patient safety |

Hospital goes low, high tech to ensure patient safety

Evans Army Community Hospital operating room nurse Regina Andrews performs a diagnostic test on the RFID wand. The wand is used to locate surgical sponges embedded with an RFID chip. (U.S. Army photo by Jeff Troth)

Evans Army Community Hospital operating room nurse Regina Andrews performs a diagnostic test on the RFID wand. The wand is used to locate surgical sponges embedded with an RFID chip. (U.S. Army photo by Jeff Troth)

FORT CARSON, Colo. — Counting is something most people learn at an early age. And in most jobs being off by one or two on your count isn't a big thing. But, if your job is in an operating room, having an exact count of sponges or tools is a necessity. 
To ensure the count of medical items is correct in its operating rooms, Evans Army Community Hospital has started using radio-frequency ID sponges. 
"Leaving a sponge inside a patient is something that nurses and doctors do not want to happen," said Army Maj. Jesus Chavez, Evans operating room clinical nurse officer in charge. "A retained sponge is something that can be extremely harmful to the patient. The body won't like it and will reject it."
A sponge left in a patient can lead to pain, infection, bowel obstructions, problems in healing, longer hospital stays, additional surgeries and in rare cases, death. In order to prevent an Unintended Retained Foreign Object, or URFO, being left in a patient from surgery, operating room staffs have long tracked instruments and sponges used in an operation with a baseline count before the surgery, a second count before the surgeon begins sewing the incision and a final count before closing the skin. 
"These counts help to eliminate the possibility of leaving a sponge behind," said Chavez. "This new RFID technology will help us even more to not do harm to a patient. Because even once is one time too many."
Chavez said that because of the counts, UFROs are quite rare. A 2007 study done in Massachusetts showed that foreign objects were left in the body in one out of every 10,000 surgeries. He said that the RFID sponges will reduce the number of URFOs even more.
The RFID sponges look like normal surgical sponges but they have an RFID chip embedded in them. This chip allows the surgical staff to locate the sponges using a handheld wand. 
Even with this technology, the OR nurses still keep a count on the sponges used during an operation. The wand is used during every operation to double check their count.
Although counting and RFID sponges are used in all operations at Evans, they are not the only systems the hospital has implemented for patient safety.
"We recently implemented white boards in the ORs to assists with the counting process and to track what instruments are being used," said Army Capt. Mallory McCuin, clinical nurse officer in charge of Evans Maternal-Child department. "This enhances communication between the provider, OR tech and the nurse." 
McCuin said that the OR staff also utilize "call backs." This requires the provider to call out when putting an instrument or a sponge into a patient and then calls back when that item is taken out. 
For emergency C-sections, which normally occur outside of an operating room, a portable ultrasound is used to scan patients prior to stitching them up. 
"We are here to ensure that our patients receive the best care possible," said McCuin. "And we are going to take every step, every process that we can think of to make sure that they are in better shape when they leave here than when they got here." 
Disclaimer: Re-published content may have been edited for length and clarity. Read original post.   

Providing TLC for ICU babies

New mom Kimberly Neifert watches NICU Nurse Brandy Lor check the breathing rate of her daughter Ruelyn at Madigan Army Medical Center. Premature babies experience faster heart rates than adults and may also pause longer between breaths due to immature breathing patterns. (U.S. Army photo by Suzanne Ovel)
Needing the care of a neonatal ICU is not something most families anticipate
Related Topics:Children's Health | Women's Health | Access to Health Care | Military Hospitals and Clinics | Quality and Safety of Health Care | Puget Sound

BLAST: Greater speed, accuracy in recognizing brain injury

Marines shield themselves from a detonated explosive charge during a breaching exercise. Modern body armor better protects warfighters against shrapnel from explosive blasts. However, they still face the resulting blast pressure and shock wave that could cause traumatic brain injury. (U.S. Marine Corps photo by Sgt. Emmanuel Ramos)
The Office of Naval Research is sponsoring the development of a portable, three-part system that can measure blast pressure, establish injury thresholds for the brain and analyze potential TBI symptoms
Related Topics:Technology | Research and Innovation | Traumatic Brain Injury

WBAMC introduces robotic-assisted tubal re-anastomosis

Dr. Jennifer Orr, urogynecologist, William Beaumont Army Medical Center, stands in front of WBAMC's robotic surgical system which was used to perform the first robotic-assisted tubal re-anastomosis at WBAMC. The introduction of robotic assisted tubal re-anastomosis, commonly known as tubal ligation reversal, provides eligible beneficiaries with a third option for the procedure, an option studies show produces higher success rates for post-operation pregnancy. (U.S. Army photo by Marcy Sanchez)
William Beaumont Army Medical Center recently performed its first robotic-assisted surgery for tubal re-anastomosis
Related Topics:Technology | Women's Health

Joint Trauma System takes shape from lessons learned

U.S. Airmen assigned to the 455th Expeditionary Medical Group perform trauma surgery on a gunshot victim at the Craig Joint Theater Hospital, Bagram Air Field, Afghanistan.
The goal of the JTS is to ensure that every fatality that can be prevented is prevented
Related Topics:Quality and Safety of Health Care

Get framed by optometry

Those old jokes about Navy-issue eyeglasses being called ‘birth-control’ are not applicable anymore with a host of new stylish frames available from which to pick and choose. Since the new frames – nine different colors, style and sizes - were introduced last October, Optometry’s Optical Support Unit has made 1,124 new pairs of eye glasses for customers. (U.S. Air Force photo  by Senior Airman Jaeda Tookes)
Old jokes about Navy-issue eyeglasses being called ‘birth-control’ are not applicable anymore with a host of new stylish frames available
Related Topics:Vision Loss | Military Hospitals and Clinics | Health Readiness | Puget Sound

Patient Safety In Action: The Value of Partnership, Continued Learning

Picture of unknown person sitting at computer and taking notes.Related Topics:Patient Safety | eBulletin

DoD PSP Treasure Chest: January Edition

Image of the DoD Patient Safety Program (PSP) logo.Related Topics:Patient Safety | eBulletin | Products & Services

Feature: Resolving Conflict and Professional Conduct

Picture of four health care providers performing surgery.Related Topics:Patient Safety | eBulletin | Products & Services

DARPA provides groundbreaking bionic arms to Walter Reed

Dr. Justin Sanchez, director of the Defense Advanced Research Projects Agency’s Biological Technologies Office, fist-bumps with one of the first two advanced “LUKE” arms to be delivered from a new production line during a ceremony at Walter Reed National Military Medical Center in Bethesda, Maryland.
DARPA is collaborating with Walter Reed to make bionic arms available to service members and veterans who are rehabilitating after suffering upper-limb loss
Related Topics:Technology | Innovation | Warrior Care | Military Hospitals and Clinics

'Lilypads' brighten pediatric patients' stay at BAMC

Lillian Sun, Amaya Mali and Sophie Rosenberg, students with the Westlake Robotics Club, display a few of their donated IV pole "lilypads" with the help of Army Col. Elizabeth Murray and Air Force Master Sgt. Sean Keene in an inpatient pediatric ward. The Robotics Club students constructed and donated 10 lily pads to pediatric patients at Brooke Army Medical Center. ( U.S. Army photo by Elaine Sanchez)
The ‘lilypads’ are decorated platforms that rest at the base of the IV pole, offering pediatric patients a fun place to sit as they move throughout the hospital
Related Topics:Military Hospitals and Clinics | San Antonio

Dr. Guice reflects on Military Health System improvements

Dr. Karen S. Guice, acting assistant secretary of defense for health affairs, presents the keynote address opening the 2016 Military Health System Research Symposium in Orlando, Florida, recently.
The Defense Department’s top medical official reflected on her five-and-a-half year tenure at the Pentagon, notably a comprehensive review of the Military Health System
Related Topics:Military Health System Review Report | Quality and Safety of Health Care | Military Hospitals and Clinics

Working together ensures high-quality patient care

Puget Sound MHS logo
Supported by the Defense Health Agency, the Puget Sound MHS was selected as a pilot site for strategic patient communications
Related Topics:Military Hospitals and Clinics | Puget Sound

MHS clinicians focus on journey to high reliability at AMSUS 2016 conference

Deputy Surgeon General Navy Rear Adm. Terry Moulton addresses MHS clinicians at the 2016 AMSUS Conference.
MHS clinicians discuss issues, improving quality of care, and how they can become a high reliability organization at AMSUS 2016 conference
Related Topics:Quality and Safety of Health Care | Health Care Program Evaluation | Warrior Care

Improving surgical safety

Medical personnel conduct a procedure at the Eisenhower Army Medical Center operating room. Eisenhower AMC was recognized by the American College of Surgeons National Surgical Quality Improvement Program for its surgical safety and quality of care for the second year in a row. (U.S. Army photo by John Corley)
The Army NSQIP program is part of a military, tri-service surgical quality collaboration with the Defense Health Agency
Related Topics:Military Hospitals and Clinics | Quality and Safety of Health Care | San Antonio

Solution Delivery Division

Fact Sheet
To deliver information technology solutions to the Military Health System through expert acquisition program management, process reengineering, information translation and sharing, training, and integration activities in order to support and advance the delivery of health care to our patients.
Related Topics:Technology

No hay comentarios: