Editorial
Health care reform, the comic book. Why didn’t someone think of this a long time ago? The new book, Health Reform: What It Is, Why It’s Necessary, How It Works (Hill & Wang 2012), tells the story of this complicated legislation in pictures with nary a table or chart. Drawn…
Reconnecting OR managers with their purpose
What connects you with your purpose? How do you find that spark that rekindles your passion for nursing? And how can you reignite that spark in your staff? With humor and stories, Rich Bluni, RN, LHRM, leads off the OR Manager Conference with his talk, Inspired Leadership: Reconnecting with…
A new "electronic etiquette" for surgical services
Nurses texting between—or even during—cases. Anesthesia providers playing games on their cell phones. A surgeon answering calls during surgery using his Bluetooth device. Mobile devices like smartphones and tablets have introduced a brand of constant communication—and a management challenge. Banning the devices isn’t the answer. Instead, health care needs to…
Evaluating surgical instrument repair options
When its instrument repair contract was up for review last year, the University of Virginia (UVA) Medical Center decided to look at the bigger picture. Rather than evaluating vendors solely on price, it looked for a company that was willing to partner in meeting its goals. The evaluation of 6…
Tips on making the most of instrument repair
Here is some advice from experts on a program to ensure clean, functioning instruments. Take a proactive approach Sharp, well maintained instruments are critical to patient safety, surgeon satisfaction, and smooth OR case flow. Kerrison rongeurs, for example, “should punch cleanly, not rip, tear, or pull,” says Rick Schultz,…
New imaging modalities raise the bar for safety
Since the days of the first rudimentary radiographs, radiation safety has been a concern in the OR, but that concern has risen as the number of hybrid ORs and procedures with imaging has risen. “The level of image guidance in the OR, whether it’s radiographic or fluoroscopy, has become highly…
A clearer, more robust surgical consent process
A large Chicago-area health system has built a clearer, more robust process for resolving any discrepancies in the surgical consent prior to the day of surgery. Consent discrepancies are a risk factor for wrong-site surgery. “We realized that by the time the patient arrives in the surgery area, it is…
Joint Commission's top ten toughest standards
What’s on the Joint Commission’s list of problem standards? The top 10 scored standards didn’t change much in 2011. Five of the top 10 are Environment of Care/Life Safety issues. Here’s a look at the trouble spots as identified at the Joint Commission’s executive briefing in late 2011. Medical…
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