Decreasing intraop delays with surgical safety checklist
Editor's Note Purposeful completion (fidelity) of, more than adherence to, items in the surgical safety checklist diminished intraoperative delays in this study. Of 591 cases analyzed, 110 (19%) had at least one documented intraoperative delay. The majority were related to missing (50%) or malfunctioning (30%) equipment. Degree of fidelity was…
Postop wound monitoring app helps detect SSIs
Editor's Note A new smartphone app called “WoundCare” is successfully letting patients send images of their surgical wounds to nurses for monitoring, this study finds. The goal of the app, developed by researchers from the Wisconsin Institute of Surgical Outcomes Research, University of Wisconsin, Madison, is earlier detection of surgical…
Planning can relieve 'growing pains' of hospital mergers
Healthcare mergers and acquisitions are becoming as common as add-on cases in the OR, with hospitals struggling to stay profitable in a financially challenging environment. Between 2008 and 2014, the United States had nearly 400 hospital mergers and acquisitions (M&A), with more than 750 hospitals being acquired or merged. “It’s…
Bullying: From conflict to confrontation to civility in the OR--Part 2
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…
Visual cues help PACU staff avoid medication errors
Concern about opioid abuse has reached epic proportions in recent months, and healthcare providers have come under increasing pressure to help mitigate the problem. Curbing the tendency to overprescribe pain medications is considered the first, most obvious step, but there are other actions that can also improve patient safety. Nurse…
Effect of standardized handoff on improved clinician preparedness in the ICU
Editor's Note The UW [University of Washington]-IPASS standardized handoff curriculum improves provider preparedness and workflow in the ICU, this study finds. The intent of UW-IPASS is to standardized and improve clinician handoffs through the use of a mnemonic and electronic medical record tool that ensures communication of essential information. UW-IPASS…
Peer initiative cultivates a better OR culture
The following “success story” describes the PEER initiative at Geisinger Medical Center, which has involved staff in making decisions to improve processes and communication. OR Manager periodically publishes success stories like this from nurse leaders or other healthcare providers who want to share their experience with our readers. Recent examples…
Survey finds lack of support for texting of medical orders
Editor's Note A survey released November 16 by the Institute for Safe Medication Practices found that many healthcare providers do not support the texting of medical orders. Of 778 respondents, which included nurses, pharmacists, physicians and other prescribers, medication/patient safety officers, and quality risk managers, 33% did not believe medical…
Compassion practices linked to nurse well-being, patient perceptions of care
Editor's Note In this study, compassion practices were significantly and negatively associated with nurse emotional exhaustion and positively associated with nurse psychological vitality. Compassion practices were also positively associated with patient perceptions of care and overall patient ratings. Supplemental analysis found that nurse well-being mediates the relationship between compassion practices…
Remote video auditing: A path to compliance and safety
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…
Free Daily News
- United Surgical Partners agrees to $1.48M settlement in 401(k) fee lawsuit
- Healthcare M&A activity set to rebound in 2025 amid stricter state oversight
- High participation in ASCQR program continues, March deadline for reconsideration requests
- Study: Preoperative stereotactic radiosurgery shows promise in brain metastases management
- Senate report: Private equity endangers patient care in underserved hospitals
- Study: Postoperative thirst often overlooked by OR, ward nurses
- FDA draft guidance addresses pulse oximeter accuracy, AI devices
- AAMI updates sterilization materials compatibility guidance
- Study: Esophagectomy outcomes worse at private equity hospitals
- Study: Black CABG patients disadvantaged in accessing best hospitals