Editor's Note The US Department of Health and Human Services (HHS) on March 9 released two interoperability rules, which will give patients direct access to their healthcare data. These rules mark the most extensive healthcare data sharing policies the federal government has implemented, requiring public and private entities to share…
Editor's Note In this first-year analysis of a data capture system called the OR Black Box, frequent intraoperative errors, events, variation in surgeons’ technical skills, and a high amount of environmental distractions were identified. In 132 patients having elective laparoscopic general surgery: auditory distractions occurred a median of 138 times…
Editor's Note In this study, researchers at the Massachusetts General Hospital, designed, implemented, and assessed the effect of the first surgery-specific peer support program in the US. The program uses five steps: creation of a conceptual framework choice of peer supporters training of peer supporters multifaceted identification of major adverse…
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. In this issue we continue our examination of the challenges related to AI, which began in last month’s issue…
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…
Editor's Note The Department of Health and Human Services (HHS) on April 26 announced it is lowering the maximum civil penalty for healthcare providers, health plans, and business associates who violate the Health Insurance Portability and Accountability Act (HIPPA), based on the level of culpability. A 2013 rule created four…
Flipping rooms, or running two ORs back to back, is common in many perioperative services departments. Certain rules of thumb can help ensure efficiency and good outcomes, but sometimes those rules either don’t exist or are unclear. Does your facility have guidelines for overlapping surgery, and do your surgical teams…
Imagine this scenario in your ambulatory surgery center (ASC): A husband and wife in their early 80s arrive for the husband’s knee replacement surgery. His wife will drive him home after surgery, and their daughter will arrive from out of state the next day to help at home while he…
Editor's Note Ambulatory surgery centers (ASCs) must comply with nondiscrimination requirements in Section 1557 of the Affordable Care Act by October 19, the Ambulatory Surgery Center Association announced on September 28. The Act prohibits sex discrimination and requires language assistance for those with limited English proficiency and effective communication for…
Editor's Note Physicians are trying to adapt privacy concerns and requirements to meet patient requests that electronic health record (EHR) data be sent to their mobile apps, including fitness trackers, according to a report in the July 7 Healthcare IT News. Meaningful use and the Medicare Access and CHIP Reauthorization…