Editorial
A year ago at this time, healthcare facilities were busy resuming elective procedures that had been put on hold because of COVID-19—a feat that required agility, innovation, and collaboration to ensure staff and patient safety amid the ongoing pandemic. It’s remarkable that multiple vaccines have since been developed and administered…
Beware of unconscious bias influence on clinical outcomes
Does compassionate care really matter? Clinical evidence points to a resounding Yes. “When healthcare providers take the time to make human connections that help end suffering, patient outcomes improve, and medical costs decrease. Among other benefits, compassion reduces pain, improves healing, lowers blood pressure, and helps alleviate depression and anxiety,”…
Patients deserve better healthcare price transparency
Reforms are underway to curb surprise billing practices, with new federal government regulations due to be published by July 1 as part of the No Surprises Act passed by Congress in late 2020. Among many other provisions, the new law will require insurance providers to be more transparent about prices…
Crisis management takes new leaders to the next level
Unexpected benefits can arise from unexpected circumstances. Relatively new nurse leaders at two different facilities have found this to be true, for different reasons. Both have faced sudden changes that made their jobs more difficult but also gave them opportunities for growth. When the director of ambulatory care at Brigham…
Logistics, clinical outcomes associated with converting ORs into an ICU for COVID-19 patients
Editor's Note This study by researchers from the department of anesthesiology, Columbia University Irving Medical Center, and the department of perioperative services-nursing, New York-Presbyterian Hospital, both in New York City, describes how OR and anesthesia personnel converted 23 ORs into an 82-bed operating room intensive care unit (ORICU), ensured staff…
The Joint Commission's safety alert supports removal of surgical smoke
Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…
First assistants bring expertise and efficiency to the OR table--Part 1
Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…
Editorial
The increasing availability of COVID-19 vaccines, along with proposed healthcare industry funding from the federal government, are reasons to feel hopeful about recovering from the pandemic. For people who are fully vaccinated, the Centers for Disease Control and Prevention has green-lighted gathering with loved ones and resuming some activities that…
Conference keynote points the way to a purposeful life
Personal health and well-being have become higher priorities during the COVID-19 pandemic. Some people who previously may have ignored preventive care or postponed procedures are taking better care of themselves. Some are reexamining life choices as a result of changes taking place over the past year. “Many of us accept…
Collaborative anesthesia providers can help boost OR performance
Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…
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