Second Look—Advocacy

If you missed these Headline News Now items the first time around, AAOS Now gives you a second chance to review them. Headline News Now—the AAOS thrice-weekly, online update of news of interest to orthopaedic surgeons—brings you the latest on clinical, socioeconomic, and political issues, as well as important announcements from AAOS.

Lapses in infection control common at ASCs
A study published in the Journal of the American Medical Association (June 9, 2010) finds lapses in infection control at ambulatory surgery centers (ASCs). Of 68 ASCs inspected in Maryland, North Carolina, and Oklahoma, 46 had at least one lapse in infection control, and 12 had lapses in three or more of five infection control categories. The most common lapses included using single-dose medication vials for more than one patient, failing to adhere to recommended practices regarding reprocessing of equipment, and lapses in handling of blood glucose monitoring equipment.

Interruptions reduce clinical time
According to a study published online in Quality and Safety in Health Care, interruptions reduce the amount of time physicians spend on clinical tasks, and some tasks may be abandoned. The prospective observational time and motion study conducted in the emergency department of a 400-bed teaching hospital included observing 40 clinicians over 210.45 hours. On average, physicians were interrupted 6.6 times per hour; 11 percent of tasks were interrupt-ed, and 3.3 percent were interrupted more than once. Physicians multitasked 12.8 percent of the time. Overall, the mean time on task (TOT) was 1:26 min, and interruptions were associated with a significant increase in TOT. Additionally, physicians failed to return to 18.5 percent of interrupted tasks.

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