OR Manager November/December 2021 - 36

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At a Glance
COVID-19 vaccine acceptance,
access among Blacks, Latinxs
A study by researchers at Yale University
School of Medicine, New Haven,
Connecticut, identifies three themes
centered on trust and addressing barriers
to COVID-19 vaccine access in
Black and Latinx communities in the
US. The study involved 72 participants-36
Black, 28 Latinx, and 8
Black/Latinx. The themes included:
* mistreatment of Black and Latinx
communities and associated distrust,
stemming from events such
as the Tuskegee syphilis study and
the perception that their voices go
unheard by the healthcare system
* informing trust via trusted messengers,
social support, seeing diversity
at the vaccination sites, and having
choices in the vaccination process
* addressing structural barriers to vaccine
access, such as the perception
that vaccine availability is limited in
minority communities, the supply of
vaccines is being commandeered
by White communities, and Spanish
language support is lacking.
The findings may impact what healthcare
systems, public health officials,
policy makers, healthcare practitioners,
and community leaders can do to facilitate
equitable uptake of the COVID-19
vaccine, the researchers say.
-https://jamanetwork.com/journals/
jamanetworkopen/fullarticle/2784917.
36
OR Manager | Nov/Dec 2021
Back table UV light decreases
environmental contamination
Researchers from Colorado Joint Replacement,
Denver, find that a back
table ultraviolet light (UV) decreases
environmental contamination near the
operative field, which may lead to a decrease
in joint infections.
Either a back table germicidal UV
light-emitting diode or a sham device
was used during total joint arthroplasty
procedures in 12 ORs (6 with UV light,
6 with sham device).
Eight Tryptic Soy Agar petri plates
were placed on a table near the operative
field and exposed to air. One
plate was removed every hour over an
8-hour time span, and the plates were
incubated for 48 hours-colony forming
units (CFUs) were recorded at 24 and
48 hours.
There was a statistically significant
difference in total CFUs between the UV
light versus sham light at 24 hours (27
vs 95) and at 48 hours (38 vs 122).
After multivariate analysis, the 24and
48-hour counts and the predictors
UV light and hour of plate removal were
statistically, significantly associated
with CFU counts. The predictor variables
explained 15.8% and 23% of the variance
in CFU counts at 24 and 48 hours,
respectively.
-https://www.sciencedirect.
com/science/article/abs/pii/
S0196655321006404.
Impact of WHO Surgical Safety
Checklist, intended use
A study led by researchers at NASA
Ames Research Center, Moffett Field,
California, finds that the World Health
Organization (WHO) Surgical Safety
Checklist is positively impacting what it
was explicitly designed to address. The
analysis included 36 articles and 20
systematic reviews.
A thematic analysis revealed four
themes in which the overall impact of
the Checklist was positive:
* clinical outcomes
* process measures
* team dynamics and communication
* safety culture.
In addition, the thematic analysis
revealed another theme-efficiency
and workload-in which the impact was
negative. For example, Checklist users
believed it slowed down processes in
the OR, which indicates that the content
of the Checklist may need to be
reconsidered in circumstances, such as
emergency surgical procedures.
The researchers concluded that although
largely positive, there was some
variability in impact, and the content
of the WHO Surgical Safety Checklist
may need to be revisited to determine
if there is a need for changes to ensure
compliance and its use as intended.
-https://www.journalacs.org/
article/S1072-7515(21)02141-4/
fulltext#.
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https://www.ormanager.com/ https://www.sciencedirect.com/science/article/abs/pii/S0196655321006404 https://www.journalacs.org/ article/S1072-7515(21)02141-4/ fulltext# https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2784917 http://www.ormanager.com
OR Manager November/December 2021

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