First case on-time starts soar after rapid process improvement training
In 2011, fewer than half of all first cases at Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire, were starting on time. That meant subsequent cases were also delayed, with overtime costs exceeding $500,000 a year. “People were unhappy with that for a lot of different reasons. It was a…
Editorial
By 2020, 80% of RNs should have a bachelor of science in nursing (BSN) degree, according to recommendations made by the Institute of Medicine (IOM) in 2010. Responses to the 2013 OR Manager Annual Salary/Career Survey showed that almost half of OR directors and managers have a master’s degree and…
Survey finds surgeons largely unaware of orthopedic device costs
More than $150 billion is spent annually on medical devices in the United States, with orthopedic and cardiac procedures accounting for almost all of Medicare’s device-related expenditures. Most of the recent increases in such expenditures have been related to the wider use of orthopedic devices, which is expected to grow…
Train, sustain, retain: Targeted recruitment reduces hospital openings from 50 to 0
What would you do if you had more than 50 open positions and 40 travel nurses in your OR? If you were part of the team at University of Virginia Medical Center (UVAMC) in Charlottesville, you would get busy recruiting and retaining staff. “We knew we couldn’t continue down that…
Innovative nurse training program bolsters interest in OR career
Like most OR leaders, Doug Robinson, BSN, RN, CNOR, manager of the Roberts Operating Rooms at Baylor University Medical Center at Dallas, wants a steady supply of OR nurses. Robinson has reached back to his own student experience to develop a program that gives students OR exposure, with the intent…
Preparing for disaster: Boston hospitals know the drill but keep practicing
In the days after the Boston Marathon bombing on April 15, 2013, many praised the way the city’s hospitals responded to the attack. But clinicians in those hospitals aren’t resting on their laurels. They have examined what worked well (and not so well) after the event and continue to plan…
Lack of surgical checklist compliance suggests need to improve implementation
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…
Anesthesiology: An important ally in building better surgical services
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…
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