Variation in surgical outcomes across highest-rated hospitals
Editor's Note Risk-adjusted surgical outcomes vary widely across hospitals within networks that are on the Honor Roll of the US News & World Report, this study finds. In this analysis of 87 hospitals and 143,174 patients, outcomes were not consistently better at Honor Roll hospitals compared with network affiliates. For…
Having a protégé makes a better manager
Editor's Note Leaders who sponsor other people in the workplace (ie, have a protégé) experience career benefits in the form of promotions or stretch assignments, the June 17 Harvard Business Review reports. A survey conducted for the book, “The Sponsor Effect: How to Be a Better Leader by Investing in…
Coworker reports of unprofessional behavior by surgeons linked to complications in their patients
Editor's Note Patients whose surgeons had more coworker reports about unprofessional behavior in the 36 months before their surgical procedures had a significantly increased risk of complications, this study finds. In this analysis of 13,653 patients having surgical procedures performed by 202 surgeons in two academic medical centers, 1,583 (11.6%)…
Joint Commission announces new NAHQ report on quality competencies
Editor's Note The Joint Commission on June 19 announced that the National Association for Healthcare Quality (NAHQ) has issued a new report−“Key Workforce Competencies for Quality-Driven Healthcare”− that focuses on creating a new framework for competencies needed by healthcare organizations to meet new goals for quality-driven healthcare. Among the competencies:…
Study: Healthcare workers often care for patients while ill themselves
Editor's Note Large numbers of healthcare workers go to work with symptoms of cold, flu, and other acute respiratory illnesses, this study finds. In this survey of healthcare workers from nine Canadian hospitals during four influenza seasons, 94.6% reported working while sick with an acute respiratory illness, most often because…
FDA: Class I recall of Cook Advance Enforcer 35 Focal-Force PTA Balloon Catheter
Editor's Note The Food & Drug Administration on June 18 identified the recall by Cook Incorporated (Bloomington, Indiana) of its Advance Enforcer 35 Focal-Force PTA Balloon Catheter 6 mm x 4 cm as Class I, the most serious. The recall was initiated because of multiple complaints of balloons bursting below…
Legal and ethical questions temper excitement about AI--Part 1
As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. Part 1 and Part 2 of the introduction to AI (May 2019 and June 2019) defined types of AI…
Partner with IT to produce the highest quality data
“What we have right now, quite frankly, in healthcare are islands—visible islands of excellence in a sea of invisible failures, with risk lurking just below the waterline. We need to widen those islands of excellence. We need to connect these islands with more dry land. We need to address these…
Editorial
The Leapfrog Group’s spring 2019 Hospital Safety Grade Report shows some progress in patient safety: an estimated 160,000 avoidable deaths nationwide, down from 205,000 in 2016. But 160,000 is a large number. “There’s still a lot of needless death and harm in American hospitals,” says Leah Binder, Leapfrog’s president and…
Emotional intelligence: A 'must' for outstanding leadership
Psychologists and social scientists developed the concept of emotional intelligence decades ago, and research since then has supported it as a key component of leadership success. “Thirty plus years’ worth of research shows that having leadership skills is not enough to be an effective leader,” says Kandi Wiens, EdD, MBA.…