High reliability: Excellent care every time
High reliability has now permeated the healthcare literature, but some clinicians are still unsure exactly what it means. A simple definition offered by Coleen Smith, MBA, RN, CPHQ, director of High Reliability Initiatives for the Joint Commission Center for Transforming Healthcare, is “excellence in patient care for every patient, every…
Simulation can be an affordable tool for improving care
How can OR managers better prepare staff to handle crisis situations? How can they encourage teamwork? Increasingly, OR leaders are turning to simulation to answer those questions. OR leaders who think they can’t afford a high-fidelity manikin (one that talks and exhibits physiologic changes) and state-of-the-art simulation lab might…
Simulation lab a safe way to practice crisis management
Emergencies such as the one described above don’t happen frequently in the OR, but it is important to prepare for them, and simulation has emerged as an ideal educational tool. This scenario took place in a simulation lab, not a real OR, so the danger to the “patient” (manikin) consisted…
Active listening lowers stress, builds confidence
The use of storytelling and listening to staff stories can be a valuable tool to help OR managers understand and mitigate workplace challenges and incivility. These are the findings of a doctoral study by Patricia Littlejohn, MBA, RN, CNOR, director, neurosciences and program development, Regional Medical Center, San Jose, California.…
Survey: Patients want more electronic communication with providers
Editor's Note A Nielsen survey of 5,000 healthcare recipients found that 15% (aged 18 to 65) communicate with providers through e-mails, 21% schedule appointments online, and 9% get text reminders, the Washington Post reports. Among those who do not communicate electronically, 36% were interested in online appointment scheduling, and 34%…
Decision aids help patients discuss anesthesia options
Editor's Note Informational brochures help patients discuss anesthesia options with their anesthesia providers, finds a study presented at the Anesthesiology 2015 annual meeting in San Diego. In the study, 67 patients were given brochures during a preoperative clinic visit that explained the different types of anesthesia, risks, and benefits, and…
Good surgical-team communication prevents SSIs
Editor's Note In this study, more case-relevant communication among surgical team members during a procedure was associated with fewer organ/space surgical site infections (SSIs). More case-irrelevant communication during the closing phase of the procedure was linked to an increased incidence of incisional SSIs. Distractions were not associated with SSIs. Case-irrelevant…
Patients identify factors that contribute to readmissions
Editor's Note This is the first study to use a human factors and systems engineering approach to evaluate contributors to readmissions after complex surgical procedures. Previous studies on readmissions have neglected the patient perspective, the authors say. Factors identified by patients and clinician providers that may have contributed to readmissions…
OR team uses evidence-based practices to reduce readmissions
Concerted efforts to reduce readmissions have paid off at Inova Fairfax Hospital in Falls Church, Virginia. Among its bragging rights since launching an initiative last year: decreased length of stay for colorectal surgery patients and a downward trend in readmissions. To learn how they did it, OR Manager spoke with…
Empowering staff yields high return on investment
Building healthy relationships between leaders and employees is vital to the success of any organization. It’s especially important in perioperative services because of the teamwork needed to provide safe patient care. OR leaders must invest in their employees by fostering trust, job embeddedness, and employee commitment, empowerment, and accountability. …
Free Daily News
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