The Best in OR Business Award is presented annually at the OR Business Management Conference to recognize an outstanding leader who has saved on costs, increased OR utilization, improved patient safety, or otherwise streamlined the surgical services department. The 2020 award will be presented to Vikram Tiwari, PhD, associate professor…
An effective handoff helps ensure care transitions are safe and efficient, but achieving the ideal handoff can be challenging. Part 1 of this two-part series provided an overview of the role of handoffs in the perioperative setting (OR Manager, January 2020, 22-23, 25). This article offers best practices for successful…
At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that emphasizes “…maximize[ing] customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources,” according to the Lean Enterprise Institute.1 Several…
Most hospital leaders are well aware of the coming wave of nurse retirements. However, few leaders understand that this wave will likely hit the OR even earlier than other departments. According to research from NSI Nursing Solutions, surgical services nurses are on average older than other nursing professionals. Because OR…
Of the approximately 57 million surgical procedures performed annually in the US, it is estimated that hospital inpatient procedures (overnight admissions) account for less than 20% of cases. Many procedures once performed in hospital outpatient surgery departments (HOPDs) have moved to ambulatory surgery centers (ASCs) over the past 15 years,…
Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…
[This article from the January 2020 issue of OR Manager summarizes information presented at the 2019 OR Manager Conference. The presenter offered tips to help attendees comply with Joint Commission standards and achieve a successful Joint Commission survey. Readers are asked to note the following points of clarification: The presentation…
Malignant hyperthermia (MH) is a rare but life-threatening surgical complication that seems to turn the effects of general anesthesia upside down. Instead of relaxing, muscles become rigid, releasing large amounts of acid and potassium into the blood. Instead of a normal slowing of breathing, respirations quicken, and end-tidal CO2 rises.…