Purpose Of Review: As the number and complexity of cases performed in the nonoperating room environment continue to increase to a higher share of all anesthetic procedures, checklists are needed to ensure staff and patient safety.
Recent Findings: Providing anesthesia care in the nonoperating room environment poses specific challenges. Closed claims data base analysis shows a higher morbidity and mortality in this setting. This is driven by the location-related challenges, and critical patients undergoing minimally invasive procedures, as well as a higher percentage of emergency and after-hours procedures. Although adequate case preparation and maintaining the same standard of care as in the main operating room, establishing protocols and checklists for procedures in nonoperating room locations has emerged as a sound strategy in improving care and safety.
Summary: Anesthesia in the nonoperating room environment is becoming an increasing share of total anesthesia cases. Establishing protocols and implementing site-specific checklists is emerging as a strategy in improving care in the environment of nonoperating room.
Video Abstract: http://links.lww.com/COAN/A89 .
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http://dx.doi.org/10.1097/ACO.0000000000001154 | DOI Listing |
Soc Sci Med
December 2024
Department of Health Policy and Management, School of Public Health, Peking University, Beijing, China. Electronic address:
As a highly destructive gaming behaviour in Diagnosis-Related Group (DRG), upcoding has garnered increasing scholarly attention. This study considers the prevalence, types and risk characteristics of upcoding during the pilot implementation of DRG payments in China, and it also explores the drivers of upcoding and provides corresponding policy recommendations for improving the system. Quantitative research data were sourced from the DRG payment audit database in City Z between the dates of June 1, 2019 and May 31, 2020, encompassing audit results comprising 200 medical records randomly selected from 28 hospitals.
View Article and Find Full Text PDFBackground: Crisis resource management in non-operating room anesthesia (NORA) locations is challenging but can potentially be improved through interprofessional crisis simulation training (ICST). This mixed methods study aimed to evaluate the effect of a one-time training on team coordination in diagnostic and interventional magnetic resonance imaging locations.
Methods: Personnel from anesthesia, radiology, and perioperative services (n = 87) underwent ICST over eight months.
World J Crit Care Med
December 2024
Department of Medicine and Pharmacology, Texas A and M University, College Station, TX 77843, United States.
Patients in the intensive care unit (ICU) may need bedside endoscopy for gastrointestinal (GI) emergencies. Conducting endoscopy in the ICU for critically ill patients needs special consideration. This mini review focuses on indications for bedside endoscopes, including GI bleeding, volvulus, and bowel obstruction.
View Article and Find Full Text PDFRegen Ther
June 2024
Center for Stem Cell and Regenerative Medicine, Institute of Science Tokyo, 1-5-45, Bunkyo-ku, Yushima, Tokyo 113-8519, Japan.
Introduction: Cell processing facilities are susceptible to environmental bacteria and must maintain sterile environments to safeguard cell products. This process involves circulating air through high-efficiency particulate air (HEPA) filters, which incurs significant maintenance costs. While cost-reduction strategies have been explored in the semiconductor industry, validations specific to cell processing facilities remain unreported.
View Article and Find Full Text PDFCardiol Young
December 2024
Qassimi Women and Children Hospital - Sharjah, Sharjah, United Arab of Emirates.
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