Focus shifts to device fragments, small miscellaneous items in RSIs
Though retained surgical items (RSIs) cases are rare, they do happen, and they take a heavy toll throughout the system in terms of steep fines, malpractice claims, and compromised patient safety. Estimates of RSIs range from 1 in 1,000 to 1 in 7,000 procedures. And a 2003 study by the…
'Just Culture' encourages error reporting, improves patient safety
During a procedure in the OR, a medication is retrieved from the automated supply station and introduced onto the sterile field. The sterile field is then, unknowingly and unintentionally, contaminated by an unsterile medication. This example could happen in any operating room setting. In this case, the circulating nurse spoke…
Boston hospitals supporting patients and staff in bombing aftermath
Just before 2:50 pm on April 15, 2 postanesthesia care nurses from Beth Israel Deaconess Medical Center (BIDMC) crossed the Boston Marathon finish line. Their elation at finishing the race soon turned to fear when they heard the first of 2 explosions. They began searching for friends and family who…
Building cohesion, community, and commitment across multiple generations working in the OR
Managing today’s multigenerational perioperative workforce can seem daunting, but understanding the strengths of each group and knowing how best to communicate with them can turn challenges into opportunities. The first step toward promoting generational interrelationships—and to better manage perioperative services for the future—is to “create a generational profile of your…
Implementing a daily huddle protects patients, avoids delays
Sixth in a series on ten elements of safer surgery. Could you and your team find 30 minutes a day to prepare for the next day’s surgical schedule? The effort can be worthwhile. A Chicago-area hospital has found that a half-hour daily huddle not only heads off delays and…
Diverse communication styles are most effective for managing multigenerational staff
Because people are living and working longer, 4 generations of employees are now toiling side by side—and not always in harmony. Creating a workplace where all generations can thrive is both challenging and crucial to a manager’s success. “The biggest challenge and opportunity for growth is to recognize that you…
Has your checklist effort stalled? Some advice on how to restart it
Fifth in a series on ten elements of safer surgery. This marks the fifth year since the worldwide roll-out of the World Health Organization (WHO) Surgical Safety Checklist. In some hospitals, the checklist has taken root and become a way of life. In others, acceptance is slower. For others,…
Starting in the office to improve postop outcomes
OR teams are accustomed to using checklists to keep patients safe during surgery. Could extending presurgical checklists to the physician’s office or clinic produce even better results? The new Strong for Surgery initiative in Washington State is introducing checklists into offices and clinics to help address issues like nutrition, glycemic…
Team training, checklist equal better outcomes in pilot
Team members simply introducing themselves to one another at the start of a case made a difference in the rate of infectious events in a pilot study. The rate was 1.9% when the introductions were documented and 21.1% when they were not. (The infectious event rate included surgical site infections,…
Phone calls go away with a low-cost tracking system
Preparing patients for surgery at Cullman Regional Medical Center in Cullman, Alabama, used to take about 200 phone calls a day. Here’s a typical scenario: The OR is ready for the next patient. The OR calls the same-day surgery unit and asks if the patient is ready. Same-day surgery says…
Free Daily News
- Study: Non-operative management of pediatric appendicitis cost-effective compared to surgery
- AMA letter expresses opposition to CRNA use of “nurse anesthesiologist” title
- House report criticizes COVID-19 pandemic response, calls for reform
- Medical device coating could reduce blood clot risks
- FDA pilot program aims to expedite high-risk medical device recall communication
- Surgeons implant first medically suspended heart pump in US
- Study: COVID-19's impact on oncological surgery offers lessons for future crises
- Study links pandemic stress to persistent increases in nursing-sensitive quality indicators
- Save the date for the 2025 OR Business Management Conference
- Study: Education, exercise improve knee OA with or without prior surgery