Editor's Note Video observation was not be as effective as evaluating live performance in promoting OR teamwork in this study. A total of 1,410 briefs were analyzed−325 live observations and 1,085 videos−and 1,398 debriefs were evaluated−166 live and 1,232 video. For briefs, there was greater compliance with live observation than…

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One of the most misunderstood and misused management buzzwords is “empowerment.” It is a noble thought that a manager can empower an employee, but only you can empower yourself, and once you have done that, no one can take that power away from you. Trying to empower someone who looks…

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When Carol Schneider, MSN, RN, CCRN, CPAN, became manager of a postanesthesia care unit (PACU) at Boston Medical Center in Massachusetts, she found a plethora of problems, including poor communication skills, low employee engagement scores, and bullying from surgeons and staff. “It was a very bad climate that was putting…

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Creating a more harmonious work environment is a struggle for some OR leaders. Tips on how to achieve this were offered during the 2017 OR Manager Conference and the 2018 OR Business Management Conference (ORBMC), and we share some of these in the March issue. A dysfunctional atmosphere in the…

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Disengagement costs organizations money through lost productivity, not to mention the risk of errors that a disengaged workforce brings. Yet in August 2017, Gallup reported that only 32% of people are engaged at work. Much of disengagement can be traced to what Cy Wakeman, president and founder of Reality-Based Leadership,…

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An organization’s culture is shaped by the collective attitudes and behaviors of the people who work there, and if no one is willing to make personal changes, no program of the month is likely to have a lasting impact. To change their attitudes and behaviors, people must be made aware…

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Kermit the frog famously said, “it’s not easy being green.” He longed to be some other color, and OR leaders faced with managing a bully have probably wished they, too, could be someone—or somewhere—else. Using some recommended approaches can help. In Part 2 of this three-part series on bullying, OR…

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Nurse bullying is a hot issue, even in the lay press—consider the 2015 Marie Claire article, “Mean Girls of the ER: The Alarming Nurse Culture of Bullying and Hazing.” Numbers vary, but the American Nurses Association reports that between 18% and 31% of nurses have experienced bullying at work. The…

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Perioperative services leaders seeking to improve safety and efficiency without sacrificing quality may want to turn to remote video auditing (RVA), which is being successfully used in hospital ORs and ambulatory surgery centers (ASCs). “We’ve seen improved patient safety, efficiency, and cleaning processes,” says Sheldon Newman, MD, executive vice chairman…

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Just culture has become a bit of a buzzword, so it’s worth revisiting what the term truly means and how it can be implemented and sustained. Although it’s a powerful tool for improving patient safety, just culture is effective only when leaders set expectations for processes and behavior, and address…

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