Is disruptive behavior inherent to the surgeon or environment?
Editor's Note Unclear policies and urgent competing responsibilities in the OR create stress, suggesting that the environment is the primary contributor to disruptive behavior by the surgeon, this study finds. Of 314 reports of disruptive behavior from surgical, medical, and other specialties, which included both the reporter account and involved…
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…
Coworker reports of unprofessional behavior by surgeons linked to complications in their patients
Editor's Note Patients whose surgeons had more coworker reports about unprofessional behavior in the 36 months before their surgical procedures had a significantly increased risk of complications, this study finds. In this analysis of 13,653 patients having surgical procedures performed by 202 surgeons in two academic medical centers, 1,583 (11.6%)…
Hats on! How ASC administrators manage multiple roles
It is not unusual for OR leaders to perform many different roles: Boss, mentor, coach, facilitator, or participant, to name some. Administrators in ambulatory surgery centers (ASCs) likewise are tasked with many different responsibilities, often shifting among multiple roles within the same day. With the rapid growth in volume and…
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…
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…
Working overtime associated with less collaboration between nurses and physicians
Editor's Note In this study, working overtime negatively influenced nurse-nurse and nurse-physician collaboration. Survey data from 24,013 nurses in 957 units from 168 hospitals in the National Database of Nursing Quality Indicators showed that one third of nurses work beyond their scheduled shifts. One hour of overtime was associated with…
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…
Study: Nursing workforce growing more diverse, educated
Editor's Note The nursing workforce is growing more diverse and educated, and relationships between nurses and physicians are improving, finds this study. Data on nearly 5,000 nurses in 13 states were included in the study. The nurses comprised four cohorts who were surveyed in 2006, 2009, 2012, and 2016. Significantly…
Cost data persuade surgeons to be more frugal
Surgeons usually don’t have a high awareness of costs, partly because they haven’t had an easy way to know them. An unfortunate byproduct of this lack of knowledge can be higher OR costs. “Imagine what it’s like if, when you go to the grocery store, there are no price tags,…
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