Surgical checklist compliance among 4 Canadian hospitals was around 60% in a large, retrospective study of acute care operations performed in 2010 and 2011. Although Alberta Health Services in Calgary, Alberta, Canada, had mandated checklist use starting in 2009, limitations such as instructional misuse, lack of perceived benefit, and lack…

Read More

Among the challenges facing OR leaders everywhere are declining payment in tandem with rising costs, increased quality and patient satisfaction requirements, and the ongoing struggle to manage relations with surgeons. When it comes to tackling these issues, many OR directors do not realize they have a powerful natural ally—the anesthesiology…

Read More

How to identify the most common problems that occur in the OR and then find ways to prevent them is a trick most OR leaders would love to learn. A solution that shows some promise is a web-based debriefing questionnaire, judging by the experience of a multidisciplinary safety team at…

Read More

The Patient Protection and Affordable Care Act (ACA) is affecting every part of the healthcare system, including ambulatory surgery centers (ASCs). Whether it will help or hinder ASCs, however, will depend on how adept they are at managing changes in the way they are paid and how they interact with…

Read More

Shooting incidents are occurring throughout the US with increasing and alarming frequency. Among those in late 2013: the Washington, DC, Navy Yard on September 16—12 dead, 3 injured before the gunman took his own life; the Sparks, Nevada middle school on October 21—1 dead, 2 wounded before the student wielding…

Read More

The South Carolina Hospital Association (SCHA) and the Joint Commission Center for Transforming Healthcare have teamed up to make the state’s healthcare highly reliable. In a joint project titled “South Carolina Safe Care Commitment,” 21 hospitals in South Carolina are learning about high reliability practices (chart, p 12). High reliability…

Read More

Early indications are that the South Carolina Safe Care Commitment project, though still in its infancy, holds promise for increasing the reliability of healthcare in that state (cover story). Certainly the progress made thus far supports the framework put forth by the Joint Commission in 2013 to help all healthcare…

Read More

Surgical team familiarity contributes to reductions in operative time, and performance improves as team experience accumulates, a new study finds. Previous studies of teamwork and its influence on surgical outcomes have been limited by the challenge of objectively quantifying teamwork. Survey-based methodologies are subject to responder bias, and the tools…

Read More