On this episode, we continue our discussion on preventing surgical smoke in the OR.

Moderator:

Guest:

Show Notes:

[00:29] Regulation and legislation around surgical smoke

[03:04] Best practices

[04:09] Sustaining efforts on smoke prevention

[05:01] Technological advances in prevention

[06:15] Financial costs and learning curve – outweighed by benefits

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Medina’s email: [email protected]

“As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022

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The daily smoke produced in an operating room is the equivalent of 27-30 cigarettes, and the OR staff breathes this in five days a week. When tools in the OR cut and cauterize human tissue, they generate a plume of smoke containing toxic chemicals, carcinogens, malignant cells and viruses. Surgical smoke can cause a host of conditions, anything from headaches and sore throat to lung disease and lung cancer. On this episode, a Vizient expert discusses the ramifications of surgical smoke and how to begin preventing it.

Moderator:

Guest:

Show Notes:

[01:27] Surgical smoke: a byproduct of surgical procedures

[01:51] Health issues from surgical smoke

[02:15] Not considered seriously over the decades

[02:47] Lung disease in physicians and OR staff

[03:34] Financial implications

[04:47] Growing awareness and the role of AORN

[06:33] Toxic materials and the effects of smoke plumes in the OR

[08:30] Vizient platform developing on surgical smoke

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Medina’s email: [email protected]

“As important as the air you breathe” (Vizient Tech Watch, p 38): Tech Watch Medical Device - Volume 2, 2022

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On this episode of our award-winning podcast, we finish our feature on an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system. We will discuss the phenomenal results of the initiative so far and what is planned for the near future at Sanford Health.

Moderator:

Guests:

Devendranath (Dev) Mannuru, MD, CHCOM

Khaled Zreik, MD

Show Notes:

[00:39] Use of data in managing PSI reduction

[03:14] Results of a successful program

[04:05] Lessons learned

[08:15] Expanding and standardizing throughout the enterprise

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Leyk’s email: [email protected]

Dr. Mannuru’s email: [email protected]

Dr. Zreik’s email: [email protected]

PSI ACS Poster: PSI ACS Poster

2023 Quality and Safety Conference presentation: 2023 QSC presentation

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On this episode of Modern Practice, we continue highlighting an organization that has made huge strides in reducing Patient Safety Indicators (PSIs) throughout health system.

Moderator:

Guests:

Devendranath (Dev) Mannuru, MD, CHCOM

Khaled Zreik, MD

Show Notes:

[01:06] Managing PSI notifications to staff – keeping it non-punitive

[03:46 Escalation process versus peer review – addressing practice variation

[05:12] Keys to achieving collaboration

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Leyk’s email: [email protected]

Dr. Mannuru’s email: [email protected]

Dr. Zreik’s email: [email protected]

PSI ACS Poster: PSI ACS Poster

2023 Quality and Safety Conference presentation: 2023 QSC presentation

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This episode of our award-winning podcast continues the success story of how Sanford Health has reduced PSIs through a concerted, multifaceted effort throughout the organization. Tomas interviews members of the clinical team that guided the way.

Moderator:

Guests:

Devendranath (Dev) Mannuru, MD, CHCOM

Khaled Zreik, MD

Show Notes:

[00:34] Surgeon’s perspective

[02:04 Role of nurse reviewer

[03:18] Necessities for success

[04:05] Importance of executive leadership; need to be non-punitive (the “gold nugget”)

[06:37] Reliable software and establishing the stop bill process

[08:15] Involving HIM, coding and the CDI team

[10:36] Engaging the clinical staff

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Leyk’s email: [email protected]

Dr. Mannuru’s email: [email protected]

Dr. Zreik’s email: [email protected]

PSI ACS Poster: PSI ACS Poster

2023 Quality and Safety Conference presentation: 2023 QSC presentation

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Developed by the Agency for Healthcare Research and Quality (AHRQ), Patient Safety Indicators, or PSIs, represent measurements of adverse events that enable healthcare organizations to gauge how they compare to others regarding patient safety. In addition, CMS looks at PSIs in scoring and penalizing organizations. In this series, Tomas talks with members of a clinical team that has seen great results in reducing PSIs throughout the organization.

Moderator:

Guests:

Devendranath (Dev) Mannuru, MD, CHCOM

Khaled Zreik, MD

Show Notes:

[02:00] Patient Safety Indicators (PSIs) defined

[02:46] PSI-90 and individual PSIs

[03:43] Hospital Acquired Conditions Reduction Program (HACRP)

[05:06] Documentation and the “dotted line” to quality

[05:44] Benchmarking with the Vizient Clinical Data Base

[06:23] Focused objectives for the PSI reduction program

[07:34] Steps in building the program structure

[09:35] Addressing gaps in education – once clinicians know what to do, they don’t fail

Links | Resources:

To contact Modern Practice: [email protected]

Rachel Leyk’s email: [email protected]

Dr. Mannuru’s email: [email protected]

Dr. Zreik’s email: [email protected]

PSI ACS Poster: PSI ACS Poster

2023 Quality and Safety Conference presentation: 2023 QSC presentation

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On this episode of our award-winning podcast, a leading expert in electrophysiology concludes our discussion on pulsed field ablation as the newest approach to treating atrial fibrillation.

Moderator:

Guest:

Show Notes:

[00:48] New energy source

[01:40] Current electroporation is more controlled

[06:30] Anticoagulation and pulse field ablation

[08:42] Be sure to work with colleagues when wanted to adopt PF ablation

[09:05] Exciting development in electrophysiology

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Munger’s email: [email protected]

More information (Vizient): Additional pulsed field ablation resources

Information on improving an electrophysiology program (Vizient):

Optimizing your EP program  

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On this episode of our award-winning podcast, a leading expert in electrophysiology explains the pathophysiology of atrial fibrillation and how therapies for it have evolved over the years, with pulsed field ablation emerging as the newest approach.

Moderator:

Guest:

Show Notes:

[00:50] Atrial fibrillation: pathophysiology and risk factors

[03:20] Treating rhythm and treating rate

[07:01] Efficacy of ablation and other treatments

[09:40] Pulse field ablation

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Munger’s email: [email protected]

More information (Vizient): Additional pulsed field ablation resources

Information on improving an electrophysiology program (Vizient):

Optimizing your EP program  

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Atrial fibrillation ablation therapies have progressed from rather primitive approaches to improved treatments that have emerged in recent years. In this series of our award-winning podcast, we discuss the history of the practice of electrophysiology and improvements that field has experienced.

Moderator:

Guest:

Show Notes:

[01:06] History of electrophysiology

[01:55] Training to become an electrophysiologist

[02:44] Electrophysiology and the only organ that moves constantly

[04:22] Seizure of the heart

[05:22] The discipline of electrophysiology and evolving practice of ablation

[07:47) The types of ablation

Links | Resources:

To contact Modern Practice: [email protected]

Dr. Munger’s email: [email protected]

More information (Vizient): Additional pulsed field ablation resources

Information on improving an electrophysiology program (Vizient):

Optimizing your EP program  

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Simon Henley was on a video call with his manager when he suddenly disappeared from the screen. He had fallen to the floor with a cardiac arrest. Not to be confused with an acute myocardial infarction, cardiac arrest is usually fatal, requiring a defibrillator and immediate CPR to revive the patient. On this episode, Simon tells his harrowing story, one with a touch of the miraculous, in how he survived those crucial first minutes and embarked on the road to recovery.

Moderator:

Guest:

Show Notes:

[00:51] Simon’s background

[01:25] An avid runner

[01:49] The call

[03:23] Every minute a cardiac arrest goes untreated drops survival rate by 10%

[04:23] No previous symptoms

[05:57] Rehabilitation

[06:55] Dealing with emotions and with recurring cardiac events

[10:19] Changed perspective

[11:12] No guarantees

Links | Resources:

To contact Modern Practice: [email protected]

Simon’s email: [email protected]

Sudden cardiac arrest: symptoms and causes (Mayo Clinic):

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Heart attack and cardiac arrest (American Heart Association):

Click Here

Cardiac care management (Medtronic):

Click Here

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