Implementing a perioperative efficiency initiative for orthopedic surgery instrumentation at an academic center: A comparative before-and-after study.

Optimizing surgical instrumentation may contribute to value-based care, particularly in commonly performed procedures. We report our experience in implementing a perioperative efficiency program in 2 types of orthopedic surgery (primary total-knee arthroplasty, TKA, and total-hip arthroplasty, THA).A comparative before-and-after study with 2 participating surgeons, each performing both THA and TKA, was conducted. Our objective was to evaluate the effect of surgical tray optimization on operating and processing time, cost, and waste associated with preparation, delivery, and staging of sterile surgical instruments. The study was designed as a prospective quality improvement initiative with pre- and postimplementation operational measures and a provider satisfaction survey.A total of 96 procedures (38 preimplementation and 58 postimplementation) were assessed using time-stamped performance endpoints. The number and weight of trays and instruments processed were reduced substantially after the optimization intervention, particularly for TKA. Setup time was reduced by 23% (6 minutes, P = .01) for TKA procedures but did not differ for THA. The number of survey respondents was small, but satisfaction was high overall among personnel involved in implementation.Optimizing instrumentation trays for orthopedic procedures yielded reduction in processing time and cost. Future research should evaluate patient outcomes and incremental/additive impact on institutional quality measures

The Grizzly, October 4, 2007

Homecoming Nominees Raise the Bar for a Good Cause • Senegal Bound: Director Discusses Study Abroad Program • Iranian President Meets Protests, Criticism at Columbia University • No More Burning: Bookstore Unleashes Banned Books Week • Breakaway Theatre Looks Promising • Nutritious Can be Delicious: Finding the Right Food for You • MSA Today • Infiltrating the English Department • Letter from the Editor: On CSU and Censorship • Opinion: MoveOn.org\u27s General Petraeus Ad • Women\u27s Soccer Fights for Undefeated CC Title • Crowds Gather to Support UC Footballhttps://digitalcommons.ursinus.edu/grizzlynews/1745/thumbnail.jp

2009 Ruby Yearbook

A digitized copy of the 2009 Ruby, the Ursinus College yearbook.https://digitalcommons.ursinus.edu/ruby/1112/thumbnail.jp

The Grizzly, December 3, 2009

Students Write Letters to Raise Money for St. Jude • Usernames Unlock Opportunities: UC Career Net Overview • Introducing the Ursinus Bioethics Society • Tuition Increases to Stay Competitive and to Cut Back on State Debts • Savoring Beer: All it Needs is a Little Love • Ursinus Japan Club Makes One Thousand Paper Cranes • Opinion: Can Ex-Significant Others Ever Be Your New Close Friends? • Ursinus Men\u27s Basketball Wins Home Opener; Improves to 3-1https://digitalcommons.ursinus.edu/grizzlynews/1801/thumbnail.jp

The Grizzly, February 28, 2008

Tragedy Strikes at Northern Illinois University • Safety at Ursinus College in Light of the NIU Massacre • Anti-HIV Gel Fails Clinical Trial, Opens Doors • Investigating the Seven-Day Itch • Great Wall vs. China Jade: Local Chinese Dining • Third Annual CoSA Celebration Hits Ursinus in April • Review of SPINTfest at UC • Opinions: NME Scandal: An Outsider\u27s Take; Why Kosovo\u27s Independence Matters • Strong Champs for UC Swim • Gymnastics Prepares for Nationalshttps://digitalcommons.ursinus.edu/grizzlynews/1757/thumbnail.jp

The Grizzly, March 25, 2010

27th Annual Airband Benefits Dignity House • Ursinus College Theater Presents The Elephant Man • Bank Robber Flees to Ursinus Campus Parking Lot • InterVarsity Group Travels to Camden Over Spring Break • Dangerous Risk to Multi-Tasking • Ursinus Field Hockey Intramurals are Open for Spring • UC Baseball Makes Best of Florida Trip • UC Alum Coaches Cornell to Sweet 16https://digitalcommons.ursinus.edu/grizzlynews/1809/thumbnail.jp

The Grizzly, April 10, 2008

Baby Dies from Lack of Medical Attention, Parents Charged • Relay is Here! • Dancing at Lughnasa Opens at UC • Yes, It\u27s a Positions Article • Airband\u27s 25th Raises $3100 for the Laurel House • Senior\u27s Helpful Hints for Class Registration • Glancing at the Future of Collegeville • Men\u27s Golf Swings into Season • Track Teams Win Goucher Classichttps://digitalcommons.ursinus.edu/grizzlynews/1761/thumbnail.jp

A simple and rapid method for the determination of nicotine in third-hand smoke by liquid chromatography and its application for the assessment of contaminated outdoor communal areas

Copyright © 2015 John Wiley & Sons, Ltd. This is the first report on the determination of nicotine in third-hand smoke (THS) in outdoor communal areas. The term THS can be defined as the contamination of surfaces by second-hand smoke. This can remain for extended periods of time and undergo further chemical reactions to produce further pollutants which can be re-suspended in dust or re-emitted into the gas phase. As THS is a rather complex mixture, studies have focused on using nicotine as a marker of THS, as it is the most abundant organic compound emitted during smoking. In this present study, the extraction of dust-wipe samples and the subsequent chromatographic conditions required for the separation of nicotine by hydrophilic interaction liquid chromatography were optimized. The optimum chromatographic conditions were identified as a 150 mm x 4.6 mm, 5 µm Zorbax Carbohydrate Analysis column with a mobile phase consisting of 90 % acetonitrile, 10 % water at a flow rate of 1.0 mL/min with UV detection at 259 nm. Further investigations were made on samples collected from surfaces of public entrance ways. Under these conditions, a linear range for nicotine of 0.05 to 24 µg/mL (1.0–480 ng on column) was obtained, with a detection limit of 1.0 ng on column based on a signal-to-noise ratio of three. Acetone, naphthalene, phenol, musk ketone, and palmitic acid were found not to interfere. Communal entrance ways were found to be contaminated with THS nicotine levels of between 5.09 µg/m2 and 309 µg/m2 comparable to that found in other previous studies of indoor environments. Copyright © 2015 John Wiley & Sons, Ltd

The Grizzly, November 8, 2007

Campus Safety Offers Tips to Stay Alert, Aware • Lost Boy Speaks on Civil War in Sudan, Genocide in Darfur • Car for a Cause Pulls Into Ursinus • UC Democrats Kick Off Montgomery County Campaign Invasion • If Nobody Speaks of Remarkable Things • Darfur Fast • Entrance Fee: Five Packs of Cigarettes • Opinions: Forgotten Promise: Iraq\u27s Refugees • Spotlight: Coach Kyle Rush • Bears Fall to Muleshttps://digitalcommons.ursinus.edu/grizzlynews/1749/thumbnail.jp

The Grizzly, October 25, 2007

Training for the Mind: Enter the Meditation World • Feel the Heat with Latin Dance Classes • Philly\u27s Finest Choreographs UCDC • Express Bus 93 Speeds Up Access to Center City • Ursinus College Bookstore Backs Edun Live Initiative • Understanding Pre-Menstrual Dysphoric Disorder (PMDD) • Ten Minutes Will Do • Four Students Nominated for Watson Fellowship • Book Review: Reasons to Live by Amy Hempel • Opinions: Genocide: Then and Now; Show at the Electric Factory; Dumbledore Out of the Broom Closet; When Arms Trade Goes Awry • New Season: Men\u27s Soccer • UC Training Room has a New Facehttps://digitalcommons.ursinus.edu/grizzlynews/1747/thumbnail.jp