114网址导航The SURgical PAtient Safety System (SURPASS) checklist optimizes timing of antibiotic prophylaxis.
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2010 Apr 13;4(1):6. doi: 10.93-4-6.The SURgical PAtient Safety System (SURPASS) checklist optimizes timing of antibiotic prophylaxis.1, , , , .1Department of Surgery, Academic Medical Centre, Amsterdam, the Netherlands. m.a.boermeester@amc.uva.nl.AbstractBACKGROUND: Surgical site infection (SSI) is an adverse event in which a close relation between process of care and outcome has been demonstrated: administration of antibiotic prophylaxis decreases the risk of SSI. In our tertiary referral centre, a SURgical PAtient Safety System (SURPASS) checklist was developed and implemented. This multidisciplinary checklist covers the entire surgical pathway and includes, among other items, administration of antibiotic prophylaxis before induction of anaesthesia. The aim of this study was to determine the effect of SURPASS implementation on timing of antibiotic prophylaxis.METHODS: A retrospective analysis was performed on two cohorts of patients: one cohort of surgical patients that underwent surgery before implementation of the checklist and a comparable cohort after implementation. The interval between administration of antibiotic prophylaxis and incision was compared between the two cohorts.RESULTS: A total of 772 surgical procedures were included. More than half of procedures were gastro- others were vascular, trauma and hernia repair procedures. After implementation, the checklist was used in 81.4% of procedures. The interval between administration of antibiotic prophylaxis and incision increased from 23.9 minutes before implementation of SURPASS to 29.9 minutes after implementation (p = 0.047). In procedures where the checklist was used, the interval increased to 32.9 minutes (p = 0.004). The proportion of patients that did not receive antibiotics until after the incision decreased significantly.CONCLUSION: The use of the SURPASS checklist leads to better compliance with regard to the timing of antibiotic prophylaxis administration.PMID:
[PubMed] Flowchart of inclusion before and after checklist implementation.Patient Saf Surg. -6.Interval between antibiotics administration and incision before and after implementation of SURPASS.Patient Saf Surg. -6.Interval between antibiotics administration and incision when looking only at procedures where the checklist was actually used.Patient Saf Surg. -6.Full Text Sources
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External link. Please review our .July 19, 2016 - Lake Success, NY LAKE SUCCESS, NY--(Marketwired - July 19, 2016) - PM Pediatrics, one of the nation's largest providers of specialized pediatric urgent care, announced today that it has treated over 1 million patients since the company opened its first practice in 2005. Open every day until midnight, PM Pediatrics is staffed by Pediatric Emergency Specialists and features equipment and an office environment all tailored to provide the best possible care for patients from cradle through college.PM Pediatrics was founded by Dr. Jeffrey Schor and Steven Katz, whose partnership can be traced back to when they met as freshman year roommates at Amherst College. Dr. Schor went on to become the Director of Pediatric Emergency Medicine and Associate Chair of Emergency Medicine at a major New York City hospital, while Steve became a management consultant with a focus on the healthcare industry. Their vision to form PM Pediatrics stemmed from a shared entrepreneurial passion, disillusionment with the health care system, and a belief that they could make a significant impact in the way acute medical care is delivered to children."Since the very first PM Pediatrics patient walked through our doors over 11 years ago, we have remained steadfast in our commitment to providing the best patient experience possible," said Steven Katz. "This exciting moment in our company's history could not have been accomplished without our devoted team, loyal patients, and support from the primary care community across all of our locations.""One million patient visits is much more than just a number, as we recall all of the times we were able to provide comfort to a worried parent, and the countless smiles we have received from the patients we have cared for," said Dr. Jeffrey Schor. "We are incredibly grateful to have achieved this milestone and take pride in being at the forefront of revolutionizing the way urgent care is delivered to children."PM Pediatrics currently has 19 locations throughout New York, New Jersey and the DC Metro area:Long Island: Syosset, Selden, North Babylon, Carle PlaceNew York City: Staten Island, Bayside/Queens, Forest Hills/Queens, Cobble Hill/Brooklyn, Midwood/BrooklynWestchester: Mamaroneck, YonkersRockland: Spring ValleyDutchess: Hopewell JunctionNew Jersey: Paramus, Livingston, Springfield, Holmdel, North BrunswickMaryland: GreenbeltAbout PM PediatricsEstablished in 2005, PM Pediatrics () is a specialized urgent care provider staffed by Pediatric Emergency Specialists trained in treating newborn through college-age patients in urgent situations while minimizing pain and unnecessary tests. Each location features digital x-ray and lab and treats a broad array of illness and injuries including , fever, infections, dehydration, fractures, wounds requiring stitches and more. Unlike traditional urgent care practices, PM Pediatrics treats children and young adults exclusively, utilizing highly trained specialists, appropriately sized equipment and an office environment tailored for pediatric patients. With 19 locations in New York, New Jersey and Maryland and over 1,000,000 patient visits to date, the company's mission is to ensure that patients receive superior quality healthcare when they need it. PM Pediatrics accepts most
and features short wait times and convenient hours, 365 days a year. PM Pediatrics has made Inc. magazine's 500|5000 list of the nation's fastest-growing private companies (), Crain's New York Business's "Fast 50" listing of the top private and publicly-held companies (2013), and Modern Healthcare's national "Best Places to Work in Healthcare" (). Image Available:
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Tip of the dayGerman Patient Surpasses 5 Years of Support on DuraHeart(TM) Left Ventricular Assist Device - Redorbit
German Patient Surpasses 5 Years of Support on DuraHeart(TM) Left Ventricular Assist Device
by Sam Savage
ANN ARBOR, Mich., July 19, 2011 /PRNewswire/ -- Terumo Heart, Inc., a wholly owned subsidiary of Terumo Corporation, today announced that a patient implanted with the DuraHeart(TM) Left Ventricular Assist System (LVAS) has surpassed five years of support on the mechanical circulatory support device. Helga Gieseke, living in Germany, was treated at The Deutsches Herzzentrum Berlin (DHZB, German Heart Institute Berlin) and is now one of the longest-living heart failure recipients of the DuraHeart(TM) LVAS device.
"Now I can breathe again...for years before I received the DuraHeart I was unable to do anything with my children or grandchildren. Since the DuraHeart, I was able to experience the birth of my little grandchild...I can now do things like walk and play catch and am able to participate in the lives of my family."
Mrs. Gieseke's heart problems have been occurring since the 1980's; her first heart surgery was performed in 1994. Between 1994 and 2006, Mrs. Gieseke underwent several procedures including implantation of stents, pacemakers and implantable defibrillators in an attempt to manage her condition. Despite all these treatments, Mrs. Gieseke's condition continued to deteriorate until she found herself unable to walk or carry out simple activities without experiencing chest pain and being short of breath.
Mrs. Gieseke admits that without the DuraHeart, she would probably not have lived to see her most recent birthday. "DuraHear there is a shortage of donor organs, and DuraHeart was my last chance. My family supported my decision {to implant an investigational device} and we have all been extremely happy with the decision and the quality of life the DuraHeart has afforded me."
"It is so gratifying to see patients such as Mrs. Gieseke who have been able to proceed with their lives following the implantation of the DuraHeart LVAS," says President and CEO of Terumo Heart, William Pinon. "Mrs. Gieseke is a prime example of how someone who was in declining health can lead a fulfilling life with end stage heart failure."
The DuraHeart LVAS is the latest-generation rotary blood pump designed for long-term patient support. The system incorporates a centrifugal flow rotary pump with the magnetically levitated impeller. The pump features three position sensors and electromagnetic coils that suspend the impeller inside the pump chamber without a single contact point. The impeller's active magnetic levitation is designed to eliminate friction by allowing a wide gap between blood contacting surfaces, enabling blood to flow through the pump unimpeded in a smooth, non-turbulent fashion.
The DuraHeart LVAS carries a CE Mark and is currently available for sale in Japan and Europe. DuraHeart is limited to investigational use only in the United States. For more information about heart failure, Ventricular Assist Devices or the DuraHeart LVAS, visit .
About Heart Failure
More than 22 million people suffer from heart failure worldwide with approximately one million new patients diagnosed annually. In the setting of an aging global population, heart failure is the number one reason for hospitalization. The most severely ill patients need heart transplants in order to recover. More than 8,000 people worldwide are on the list of eligible candidates for heart transplants annually, but less than 3,000 receive a transplant each year. A large number of people who suffer from severe heart failure do not qualify for transplantation due to other health issues. An alternative for these patients is access to artificial mechanical assist.
About Terumo Heart, Inc.
Terumo Heart, Inc. is a U.S. subsidiary of Terumo Corporation with headquarters and manufacturing facilities in Ann Arbor, Michigan. The company's focus is the innovation and introduction of products to improve the quality of healthcare for heart failure patients. Terumo Corporation, located in Tokyo, Japan, is a leading developer, manufacturer and global marketer of a wide array of medical products. DuraHeart is limited to investigational use only in the United States, and is CE marked in Europe. For more information visit
SOURCE Terumo Heart, Inc.