Zero tolerance policies rob 'energy suckers' of power
Many OR managers have likely experienced bullying, incivility, or lateral violence at some point in their careers. For newer and more seasoned managers alike, advice for handling difficult people is always welcome, and attendees at the 2019 OR Manager Conference in New Orleans will gain some valuable insights from Barbara…
Improved reporting system increases disruptive behavior reports
Editor's Note After implementing an improved reporting system for disruptive behavior that included the ability to report positive behaviors, the number and length of reports increased in this study. Researchers compared reports in the Patient Safety Net (PSN) event reporting system (2010-2015) to the RL Solutions RL6 system (2015-2018), which…
AHRQ: ASCs can submit patient safety culture survey data until July 22
Editor's Note The Agency for Healthcare Research and Quality (AHRQ) announced on June 4 that ambulatory surgery centers (ASCs) that have administered AHRQ’s Ambulatory Surgery Center Survey on Patient Safety Culture can submit their data to the database until July 22. ASCs that submit data will receive free individual feedback…
Association between nurse work environment and outcomes
Editor's Note The nurse work environment is associated with the quality of nursing care, nurse job outcomes, patient outcomes, and patient satisfaction, this study finds. This meta-analysis of 17 articles that reported data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients, in 22 countries found consistent, significant…
Cross-training staff solves competency and engagement puzzle
High labor costs, surgeon dissatisfaction, high staff turnover, and low staff competency are problems that dog many OR leaders at some point in their careers. When managers at the Stanford University Medical Center Main OR in Stanford, California, found themselves facing all of these problems at once, they knew something…
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…
Hospital safety culture linked to surgical patient outcomes
Editor's Note A hospital’s safety culture may influence certain surgical patient outcomes, finds this study. A Safety Attitudes Questionnaire (SAQ), sent to administrators, quality improvement teams, nurses, anesthesiologists, and surgeons in 49 hospitals participating in the Illinois Surgical Quality Improvement Collaborative, found that OR safety culture had the highest scores…
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…
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…
Joint Commission: New blog post examines steps for developing a reporting culture
Editor's Note A new blog post featured in the Joint Commission’s "High Reliability Healthcare" examines four essential steps for developing a reporting culture and why they are important. The steps are: Establish trust: Leaders should help create personal responsibility by establishing clear performance expectations for employees in an environment where…
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