Oregon surgery center is pioneer in outpatient hysterectomy
Surgeons perform about 600,000 hysterectomies per year in the US, but less than 1% of these take place in ambulatory surgery centers (ASCs). Richard Rosenfield, MD, is trying to change that. Before he founded Pearl Surgi-Center in Portland, Oregon, Dr Rosenfield performed outpatient hysterectomies at several local hospitals as an…
For optimal OR design, play by the rules and get expert advice
Designing an OR suite involves detailed planning, knowledge of regulations, an interdisciplinary team, a laser focus on process, and even a little bit of luck. Keeping all the balls in the air requires a master juggler, and OR managers are uniquely suited for that role. Architects and planners use guidelines…
Don't err on air pressure: Joint Commission is watching
Moving quickly up the ranks of the top 10 most frequently scored standards for Joint Commission accreditation is EC.02.05.01. At the end of 2012, this standard was just barely in tenth place, with 34% of hospitals noncompliant. By the first half of 2013, it had moved to fourth place and…
Editorial
The way people feel at work profoundly influences how they perform, and recent surveys find a higher percentage of burnout than engagement among many US employees, according to a New York Times article. The authors, Tony Schwartz and Christine Porath, cite a 2013 Gallup poll showing that just 30% of…
To change the culture, connect the dots between all caregivers
Finding ways to meet Affordable Care Act (ACA) requirements is a challenge all healthcare leaders are facing, regardless of the type of facility they manage. That challenge includes shifting to a value-based payment system and helping staff and physicians adapt to the sometimes bewildering array of new rules. Kent Bottles,…
OR traffic data demonstrate need to reduce door openings
Although limiting OR traffic can help reduce surgical site infections (SSIs), doing so can be a challenge in a busy OR. Two hospitals recently completed projects that successfully reduced traffic. At the University of Iowa Hospitals and Clinics (UIHC) in Iowa City, a guideline for limiting door openings significantly reduced…
Rooms with a view: Kaizen events put things in their proper place
What can you do when you need to store about 9,000 sq ft of equipment in just 7,000 sq ft of storage space? What if your OR supplies are housed in such cluttered, disorganized drawers that staff have difficulty finding things? Unleash the Lean teams, of course. At the University…
Vanderbilt adds new twist to M&M tradition with focus on improvement
The morbidity and mortality (M&M) conference is a traditional forum that provides clinicians with an opportunity to discuss errors and adverse events. Most are discipline specific. When a mortality or significant morbidity occurs in the OR, however, it is rarely owned by a single discipline. Multiple disciplines take care of…
Free Daily News
- Healthcare employment up in February
- New legal standard redefines medical negligence
- Study: Machine learning improves OR efficiency, but challenges remain
- Study: Weekend effect raises risk of surgical patient mortality, complications
- 4-day workweek boosts job satisfaction, work-life balance for nurse leaders
- Open-heart surgery performed on infant mid-delivery
- Infusion pumps deemed high-risk in FDA early alert
- Stem cell researchers tout potential for sickle cell disease cure
- Study: Stem cell therapy restores vision in LSCD patients
- AMSURG launches nationwide campaign to spotlight rising colon cancer rates, urges early screening
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