Robotics: Little data, much debate
Robotic surgical procedures *Includes cardiothoracic, general, and other urologic and gynecologic procedures. Source: ECRI Institute, 2008. Mention robotics in OR circles, and you're likely to spark a debate. Is robotic surgery an innovative technique with wide application or mainly a marketing ploy to attract patients? Or does the truth lie…
Don't overlook reprocessing instructions
Like facilities around the country, you are probably considering alternatives to the Steris System 1 (SS1) for reprocessing your medical devices. The Food and Drug Administration (FDA) issued a notice in December 2009 stating that the SS1 as currently marketed had not been approved or cleared for its label claims,…
Considering robotics? Plan for a program, not just procedures
Robotic surgery has become part of the OR landscape, partly driven by marketing, as competing hospitals purchase robots and advertise them to consumers eager for the latest technology. "It's definitely a consumer-driven health care offering," says Lynda Petty, RN, director of perioperative education, policy, and process improvement at The Ohio…
Data sparks on-time improvements
As with most busy ORs, we were looking to improve our efficiency. Consultants were brought in and gave recommendations, but it did not change our culture or improve our on-time starts. We had meetings with anesthesia providers, surgeons, and nurses. The results were differing opinions on the definition of an…
Beyond robotics: What to expect next?
A Philadelphia hospital is now using the ViKY, developed by EndoControl in France, a single-arm device that is much smaller and easier to use than the da Vinci surgical robot and doesn't require a large OR or OR team for set up, notes Diane Robertson of ECRI Institute. Another focus…
Meeting an ASC's financial targets
Every ambulatory surgery center (ASC) needs a financial compass to help chart its course. Is revenue per case up or down? What about expenses per case? How does the center's performance compare with national benchmarks? A financial dashboard helps leaders at Harmony Surgery Center in Fort Collins, Colorado, see trends…
For urgent and emergent cases, which one goes to the OR first?
When several patients needing urgent or emergent surgery arrive at a hospital simultaneously, who decides which case goes to the OR first? For true emergencies, the decision is generally straightforward, with the patient rushed into the first available room. But in many other situations, the decision is not as clear:…
Surgeon supply faces 'perfect storm'
As an aging population, a recovering economy, and health care reform bring more patients into the operating room, will there be enough surgeons to care for them? A shortage of 124,000 to 159,000 MDs is projected within 15 years—and about a third of the shortage will be in surgery, according…
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