Cultural, generational factors influencing RN retention
Editor's Note Generational and cultural differences may affect an RN’s job satisfaction and intent to stay, and nurse leaders must reassess staff satisfaction beyond mandatory annual staff engagement surveys, this study finds. An online survey of 309 RNs at a tertiary care hospital in south Texas found that: Millennials anticipate…
Savvy leaders know how to 'read' themselves and their staffs
Managing the OR is similar to playing a game of poker. To win, a player must be able to read the others around the table, and to succeed, managers must be able to read their staff members and colleagues. Most importantly, they all must know the rules and when it’s…
Prioritizing patient safety unites and empowers OR team—Part 2
Several never events at The Medical Center of Aurora (TMCA) in Aurora, Colorado, over a 1-year period prompted leaders there to launch patient safety first (PSF) initiatives. Part 1 of this series discussed how these initiatives were identified and implemented, and the importance of evidence-based communication tools (OR Manager, March…
Failure to debrief after anesthesia critical events tied to communication breakdowns
Editor's Note Failure to debrief after critical events is common in anesthesia trainees and teams, and communication breakdowns are associated with the failure to debrief, this study finds. Over a 1-year period at a large academic medical center, anesthesiology residents and some attending anesthesiologists were audited and/or interviewed about the…
Surgical transfer unit allows patients to bypass ED
There are few things more disheartening for patients than having to board in the emergency department (ED) for long periods while waiting for a bed. ED boarding can also delay treatment and adds to overcrowding and backups. Erlanger Health System, based in Chattanooga, Tennessee, decided to tackle this problem head…
Prioritizing patient safety unites and empowers OR team—Part 1
Communication breakdowns in the perioperative environment are a factor in 70% of events that adversely affect patients. Sometimes those breakdowns occur because OR staff are reluctant to voice their concerns in an environment that is hierarchical and intimidating. However, when an organization adopts patient safety first (PSF) initiatives, adverse outcomes…
Automated text messages improve joint replacement outcomes
Editor's Note An automated text messaging system increased patient engagement with home-based exercise and promoted faster recovery after knee and hip replacements, this study finds. In this analysis of 159 patients (83 controls, 76 intervention) having total knee or hip replacement surgery, those receiving timely texts showed improvement in the…
Harmful medical errors drop after implementing program to improve communication with families
Editor's Note Harmful medical errors decreased by nearly 38% after implementing a program to improve communication between healthcare providers, patients, and families, finds this study. A total of 3,106 pediatric patient admissions in seven US hospitals, 2,148 parents or caregivers, 435 nurses, 203 medical students, and 586 residents were involved…
Intraoperative positioning education fills knowledge void in care unit nurses
Can experience in the OR improve patient care in the postsurgical inpatient setting? Beginning last year, the OR at Temple University Hospital, Philadelphia, started its first Periop 101 program and trained six nurses from postsurgical care units to be perioperative nurses. During the program, the former care unit nurses found…
Cross-generational communication: A two-way street
Today’s perioperative services staff consist of multiple generations with different backgrounds and communication styles. Nurse leaders must consider such differences, not only for recruitment and retention purposes but also for developing bonds with bosses who are not from their own generation—because they will have their own unique leadership styles. “Each…
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