Ethical dilemmas of do-not-resuscitate orders in surgery.

abstract：:TeamSTEPPS is a powerful, evidence-based tool available to perioperative leaders to promote patient safety. The program improves communication and develops highly effective teams that optimize the use of information, people, and resources; resolve conflicts; improve information sharing; eliminate barriers to quality a...

journal_title：AORN journal

authors： Steelman VM

更新日期：2014-07-01 00:00:00

abstract：:Perioperative services team members at Presbyterian Hospital of Dallas employed a methodical redesign process to redefine team members' relationships and revise roles to be patient focused. One outcome of this redesign process was the creation of multiskilled worker (ie, unlicensed assistive personnel) roles within se...

journal_title：AORN journal

authors： Wurstner J,Koch F

更新日期：1995-05-01 00:00:00

abstract：:Staffing shortages among professionals in specialized health care and clinical situations that demand around-the-clock care make it challenging to address staff member fatigue. Many industries have developed restrictions on work hours to help reduce the effects of fatigue on safety. The perioperative specialty, howeve...

journal_title：AORN journal

authors： Battié RN,Rall H,Khorsand L,Hill J

更新日期：2017-03-01 00:00:00

abstract：:Efforts to comply with AORN's recommended practices for sterilization led a multidisciplinary team at H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, to undertake a quality improvement project to reduce the frequency of immediate-use (previously called flash) sterilization. Team members determined t...

journal_title：AORN journal

authors： Shelby D,Kras B,Bryant S,Myers K,Bolyard N

更新日期：2012-11-01 00:00:00

abstract：:Fibromatosis is the nonmalignant proliferation of fibroblasts that aggressively invade adjacent tissues. The cause of this abundant growth is unknown. When fibromatosis develops in the mandible or adjoining tissues, its aggressive growth can compress the trachea and cause death. Resection is the treatment of choice. M...

journal_title：AORN journal

authors： Steuer KS

更新日期：1995-08-01 00:00:00

abstract：:AORN conducted its ninth annual compensation survey for perioperative nurses in June and July 2011. A multiple regression model was used to examine how a number of variables, including job title, education level, certification, experience, and geographic region, affect nurse compensation. Comparisons between the 2011 ...

journal_title：AORN journal

authors： Bacon D

更新日期：2011-12-01 00:00:00

abstract：:The purpose of this needs assessment was to determine which waiting area amenities family members deem important to make them comfortable when waiting for news about surgical patients. A literature review was conducted, perioperative staff members were interviewed and surveyed, and family members were interviewed and ...

journal_title：AORN journal

authors： Carmichael JM,Agre P

更新日期：2002-06-01 00:00:00

abstract：:A culture of patient safety requires commitment and full participation from all staff members. In 2008, results of a culture of patient safety survey conducted in the perioperative division of the Lehigh Valley Health Network in Pennsylvania revealed a lack of patient-centered focus, teamwork, and positive communicati...

journal_title：AORN journal

authors： Johnson HL,Kimsey D

更新日期：2012-05-01 00:00:00

abstract：:Surgical site infections (SSIs) contribute to morbidity and mortality and increase the costs of patient care. Effective skin decontamination is recommended to reduce the risk of SSI and the transmission of antibiotic-resistant pathogens. A macrodilution broth method and an in vitro time-kill method were used to determ...

journal_title：AORN journal

authors： DeBaun B

更新日期：2008-05-01 00:00:00

abstract：:Blood administration safety is the result of accurate identification of patients to blood products before transfusions, appropriate care and administration of blood products, and rapid recognition and intervention when adverse reactions occur. Health care institutions have an obligation to provide staff members clearl...

journal_title：AORN journal

authors： Craig V,Bower JO

更新日期：1997-07-01 00:00:00

abstract：:A large number of vaginal hysterectomies are performed on an outpatient basis through ambulatory surgery units (ASU). Recognizing this trend, we researched the possibility of performing vaginal hysterectomies in our ASU and developed an outpatient vaginal hysterectomy protocol. The preoperative and postoperative educa...

journal_title：AORN journal

authors： Bran DF,Spellman JR,Summitt RL Jr

更新日期：1995-11-01 00:00:00

abstract：:When a urinary catheter is not inserted using proper technique, becomes unclean, or remains in place for too long, microorganisms can travel through the catheter lumen or along the outside of the catheter and infect the bladder or kidneys, resulting in a catheter-associated urinary tract infection (CAUTI). Urinary tra...

journal_title：AORN journal

authors： Clayton JL

更新日期：2017-05-01 00:00:00

abstract：:The authors investigated music as a method to reduce ambulatory surgery patients' preoperative anxiety. They assigned 42 patients to either an experimental or a control group and compared the patients' vital signs and self-reports of anxiety, which were measured using the state portion of the State-Trait Anxiety Inven...

journal_title：AORN journal

authors： Augustin P,Hains AA

更新日期：1996-04-01 00:00:00

abstract：:Achieving perioperative hemostasis is vital to surgical success. Inadequate control of bleeding is associated with serious adverse outcomes, including extended duration of surgery, unanticipated blood transfusions, shock, infection, impaired wound healing, longer hospital stays, and mortality. Appropriate clinical man...

journal_title：AORN journal

authors： Neveleff DJ,Kraiss LW,Schulman CS

更新日期：2010-11-01 00:00:00

abstract：:Most of the experts agree: new technology, new laser applications, and new concepts of health care will keep the ambulatory surgery industry moving and growing. Statistics from the past seem to imply the same thing. Ten years from now we can reread this article and see if we were accurate. ...

journal_title：AORN journal

authors： Cruz LD

更新日期：1990-01-01 00:00:00

abstract：:The 1993 survey is the first step in a planned, systematic method of eliciting members' opinions, demographic information, and program preferences. The data collected will be used to analyze current programs and services and plan for the future. There are limitations to survey research. Questions may be deleted accide...

journal_title：AORN journal

authors： Foss J

更新日期：1993-11-01 00:00:00

abstract：:Nursing performance, or the skills a nurse exhibits in practice, is limited by the extent or level of a nurse's knowledge base; hence, the expression "nurses are what nurses do" probes nurses' levels of satisfaction with their present educational status. Given the rapid changes in health care today, nurses are questio...

journal_title：AORN journal

authors： Domino E

更新日期：2005-01-01 00:00:00

abstract：:Hypothermia, a common problem for patients having surgery, adversely affects multiple organ systems and physiologic functions. Research indicates that maintaining normothermia can reduce infection rates, operative blood loss, and length of hospital stay. Often, preventing hypothermia is not a high priority to surgical...

journal_title：AORN journal

authors： Weirich TL

更新日期：2008-02-01 00:00:00

abstract：:We formed an interdisciplinary team to create a standardized, evidence-based protocol that would reduce cesarean delivery surgical site infection rates at our tertiary teaching facility. The Joint Commission's current implementation guide for surgical site infections, although comprehensive, does not specifically addr...

journal_title：AORN journal

authors： Money L,Eyer M,Duncan K

更新日期：2018-10-01 00:00:00

abstract：:A congential head or neck mass increase the risk of airway obstruction and imminent respiratory failure at birth. The ex utero intrapartum treatment (EXIT) procedure is an option to secure the infant's airway in some clinical situations when an antenatal diagnosis of a head or neck mass or potentials airway obstructio...

journal_title：AORN journal

authors： Filipchuck D,Avdimiretz L

更新日期：2009-11-01 00:00:00

abstract：:OSTEOPOROSIS is a skeletal disorder that compromises bone strength, predisposing a person to an increased risk of fracture. An estimated 700,000 spinal fragility fractures, such as vertebral compression fractures, directly related to osteoporosis occur annually. KYPHOPLASTY, a minimally invasive fracture reduction pro...

journal_title：AORN journal

authors： Erickson K,Baker S,Smith J

更新日期：2003-11-01 00:00:00

abstract：:Approximately 500,000 surgical site infections (SSIs) occur each year in the United States. The purpose of this study was to determine if the bacteria most frequently involved in SSIs could be found on telephones in the OR. Twenty-six cultures were taken from telephones in 14 ORs and two substerile rooms at a large te...

journal_title：AORN journal

authors： Nelson J,Bivens A,Shinn A,Wanzer L,Kasper C

更新日期：2006-03-01 00:00:00

abstract：:Endoscopic carpal tunnel decompression is a new and effective way of relieving CTS. It shortens the recovery period and the length of time required to resume normal postoperative activity. The majority of our patients have experienced relief of symptoms and, in instances where the opposite hand was affected by CTS, ha...

journal_title：AORN journal

authors： Anderson BA

更新日期：1993-02-01 00:00:00

abstract：:Epinephrine and phenylephrine always should be used with extreme caution, especially in their most concentrated solutions. This is especially true in the OR where these medications are used for purposes involving extreme variations in doses and strengths. Although these medications may be handled and administered dail...

journal_title：AORN journal

authors： Beyea SC,Hicks RW

更新日期：2003-04-01 00:00:00

abstract：:Perioperative nurses and nurse leaders should understand how to apply a nursing informatics framework and informatics concepts to strengthen data interpretation, transitions in care, and engagement with patients susceptible to malignant hyperthermia (MH) and their family members. Patient outcomes can be improved when ...

journal_title：AORN journal

authors： Denholm BG

更新日期：2016-04-01 00:00:00

abstract：:Rheumatoid arthritis (RA) usually requires lifelong treatment and sometimes surgery. Metacarpophalangeal joint (MCPJ) implant arthroplasty is one surgical treatment for patients with severe RA malformation of the finger joints. Although not a cure, MCPJ implant arthroplasty can enhance patients' quality of life by imp...

journal_title：AORN journal

authors： Roth M

更新日期：1994-12-01 00:00:00

abstract：:Sterile surgical gloves are used to protect patients and health care workers (HCWs) from infection during surgery and to shield HCWs from exposure to bloodborne pathogens. Based on increased reports of latex allergy, many HCWs now use nonlatex surgical gloves as a substitute for natural rubber gloves. Little is known,...

journal_title：AORN journal

authors： Korniewicz DM,Garzon L,Seltzer J,Kennedy N,Feinleib M

更新日期：2001-02-01 00:00:00

abstract：:Patients with liver disease require skilled, complex management of the inevitable complications associated with hepatic dysfunction. Portal hypertension, a major consequence of cirrhosis of the liver, causes ascites and esophageal variceal hemorrhages. Many clinical and surgical treatment options are available to mana...

journal_title：AORN journal

authors： McEwen DR

更新日期：1996-08-01 00:00:00

abstract：:The intra-aortic balloon pump (IABP) is a commonly used circulatory-assist device that increases myocardial oxygen supply and reduces myocardial oxygen demand, thus improving left ventricular function. The inflation and deflation pattern of the IABP is the opposite of the heart's rhythm. As the heart rests, the balloo...

journal_title：AORN journal

authors： Tremper RS

更新日期：2006-07-01 00:00:00

abstract：:Deep brain stimulation (DBS) is a new and promising technique for the treatment of movement disorders. Medically intractable Parkinson's disease (PD) is one of the most common indications for DBS. There are three possible subcortical targets for PD, depending on the symptomatology (i.e., the motor subdivision of the t...

journal_title：AORN journal

authors： Byrd DL,Marks WJ Jr,Starr PA

更新日期：2000-09-01 00:00:00