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,”…

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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…

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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…

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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…

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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…

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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…

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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…

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Compliance with sterilization and disinfection standards is critical to patient safety, yet Joint Commission surveyors continue to cite healthcare facilities for noncompliance with high-level disinfection (HLD) and sterilization processes during accreditation surveys. Organizations with HLD and/or sterilization breaches during a survey may receive an immediate threat to life or adverse…

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