The anesthesia quality improvement program at Vanderbilt University Medical Center in Nashville can claim a variety of successes, notably less postoperative hypo- and hyper-glycemia and fewer wound infections. When anesthesia providers noticed they weren’t monitoring blood glucose in patients with diabetes as frequently as their own goals specified, they put…

Read More

During the first half of 2015, the Joint Commission’s top “not compliant” survey citations stemmed from Infection Control IC.02.02.01, which relates to reducing the risk of infections associated with medical equipment, devices, and supplies. Surveyors cited critical access hospitals in 60% of the surveys, hospitals in 54%, and office-based surgery…

Read More

Ambulatory surgery centers (ASCs) are taking a new look at the question of disaster response. Staff are not always informed about what emergencies might occur, or what they should do in response to the most likely scenarios. Likewise, many local emergency management agencies are not even aware of the ASCs…

Read More

OR Manager, Inc, and ECRI Institute have joined in a collaboration to bring OR Manager readers quarterly supplements on topics such as medical technology management and procurement, risk management, and patient safety. ECRI Institute is an independent nonprofit that researches the best approaches to improving patient care. Three-dimensional (3-D) printers…

Read More

Urinary tract infections are the most common type of healthcare-associated infection reported to the Centers for Disease Control and Prevention’s National Healthcare Safety Network. Of urinary tract infections acquired in the hospital, approximately 75% are associated with a urinary catheter. With the increased scrutiny of catheter-associated urinary tract infections (CAUTIs)…

Read More

Electronic health records (EHRs) are here to stay, but implementation and optimal use are still lacking. Respondents to the 25th annual OR Manager Salary/Career Survey identified many issues, including the amount of time it takes to document in an EHR, lack of integration with other systems, physicians not fully using…

Read More

Rooms filled to capacity, an expansive exhibit hall with a complete hybrid OR, and interactive sessions led by a stellar group of speakers were hallmarks of the 2015 OR Manager Conference in Nashville. Uniformly positive comments from attendees suggest this conference was one of the biggest and best in its…

Read More

Clinical and social characteristics not included in Medicare’s current risk-adjustment methods explained much of the difference in readmission risk between patients admitted to hospitals with higher versus lower readmission rates, a study finds. The Medicare Hospital Readmissions Reduction Program penalizes hospitals with higher than expected 30-day readmission rates by reducing…

Read More