AHRQ: Surgical procedures performed in hospital outpatient vs inpatient settings
Editor's Note In 2014, 58% of the 17.2 million hospital-based surgical procedures took place in outpatient settings, according to a report from the Agency for Healthcare Research and Quality (AHRQ). The report, which helps to quantify ongoing shifts to more outpatient surgical procedures, found that the most common outpatient procedures…
Effect of adverse events on postop outcomes
Editor's Note Intraoperative adverse events are independently associated with increased postoperative mortality, morbidity, and prolonged length of stay (LOS), this study finds. Of 9,288 abdominal surgical procedures analyzed, 183 had intraoperative adverse events. Most consisted of bowel (44%) or vessel (29%) injuries, which were addressed intraoperatively (92%). Multivariate analysis showed…
Japanese researchers develop self-donning surgical gown
Editor's Note A research group from the Global Center for Medical Engineering and Informatics, Osaka University, has developed a self-donning and self-adjusting surgical gown called “Selfgown,” the May 16 EurekaAlert reports. The new gown comprises a special spring along the neckline instead of strings, and the inner belt is removed…
Employee engagement: The path to better patient care--Part 1
What’s the best strategy for OR leaders to boost productivity, reduce costs, and, most important, provide excellent patient care? Ensure staff are engaged. Staff engagement has become something of a buzzword in healthcare, but for good reason. “Employee engagement is the bull’s-eye on the target of providing excellent patient care,”…
New staffing schedule unclogs PACU bottleneck
Perioperative services is a key driver for financial performance, and efficient use of space and staffing is vital in the current era of declining reimbursement. A bottleneck in any of the three phases of surgery—pre-, intra-, and postoperative—can result in long delays as well as surgeon, anesthesiologist, and staff anxiety…
Editorial
Projections of growth in nursing over the next several years seem to belie the shortage forecast just a few years ago. According to the US Bureau of Labor Statistics, employment of registered nurses is projected to grow 16% between 2014 and 2024. And by 2025, says a report from the…
Lower readmission rates linked to Medicare's HRRP
Studies have shown an association between reduced hospital readmission rates and programs implemented as part of the Centers for Medicare & Medicaid Services’ (CMS) Hospital Readmission Reduction Program (HRRP) to reduce healthcare costs and improve quality of care. Researchers from the University of Michigan in Ann Arbor and the RAND…
START makes a good case for greater scheduling accuracy
Accurate OR case scheduling is a key performance indicator that is challenging to manage. The published literature often focuses on scheduling algorithms using historical data, the surgeon’s own estimate, or a mix of similar procedures. This mathematical approach neglects the cultural, economic, behavioral, and process challenges that impact attempts to…
Preference card cleanup projected to cut costs across departments
Fine-tuning physician preference cards to reduce instrument use and sterilization is a well-known way to cut costs, but one that is often hard to implement. At Bassett Healthcare (Cooperstown, New York), we had success with a simple intervention involving collaboration with nearly 50 surgeons across multiple departments. We reviewed more…
Top 10 Patient Safety Concerns for 2017
Healthcare is striving to become an industry of high-reliability organizations, and part of being a high-reliability industry means staying vigilant and identifying problems proactively. ECRI Institute’s annual Top 10 list helps organizations identify looming patient safety challenges and offers suggestions and resources for addressing them. ECRI Institute relied on event…