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.…
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%…
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…
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…
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…
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…
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. …
Editor's Note Like healthcare facilities across the country, those in Oregon are struggling with the growing problem of smartphones in the OR. This article and audio includes interviews OR personnel, residents, medical students, managers, administrators, and patient safety regulators on the issue of smartphones in the OR. The executive director…
Providing ideal patient care is the fundamental purpose behind Adaptive Design, an innovative systems approach that engages frontline staff in problem solving and focuses on improving patient care as part of everyone’s daily work. “More access to better care at a continually lower cost is the promise of doing Adaptive…
At least half the battle in making and sustaining process improvements is getting the entire team on board with a new workflow. One key to getting buy-in from staff is to clarify why changes are needed and what the consequences may be if the new processes aren’t followed. In a…