Perioperative surgical home optimizes patient care, Part 2
Part 1 of this two-part series, published in the March issue of OR Manager, discussed the perioperative surgical home (PSH) concept. In this article, healthcare providers who are in the planning stages of a PSH as well as those with several years of experience with using this model of care…
Perioperative surgical home optimizes patient care, Part 1
The medical home, consisting of a patient-centered team focusing on the coordinated delivery of care, is now embedded in the healthcare lexicon, but the perioperative surgical home (PSH) is a more recent concept that is only starting to spread across the country. “The number of hospitals in the US with…
Surgical patients warmed with forced air still experience hypothermia
Even in patients actively warmed with forced air during surgery, hypothermia is routine during the first hour of anesthesia, a new study finds. Intraoperative core hypothermia causes complications such as coagulopathy, surgical site infections, and possibly myocardial complications. It also decreases drug metabolism, prolongs recovery, and causes thermal discomfort. Warming…
Careful planning essential when expanding outpatient surgery repertoire
The decision to add a new procedure in an ambulatory surgery center (ASC) is a matter of weighing risks and opportunities. A long list of variables must be analyzed and compared. Is the prospect of higher profit worth the investment that will be required in staff and equipment? Is our…
EASE app updates families on patients' progress during surgery
As the anesthesiologist places the mask on the little girl’s face, the circulating nurse snaps a photograph and sends it to her parents’ cell phone with a caption saying, “she is safely off to sleep.” The nurse continues to send photographs and videos of the girl’s heart procedure along with…
No time to waste: A children's hospital Lean team streamlines its turnover process
Children’s Hospital of Los Angeles (CHLA) is renowned for patient care, but by early 2013 the increased complexity of new technology and other factors had eroded efficiency. Orthopedics had fallen to the bottom quartile compared to national benchmarks for turnover times, and executive leadership called for change. Within orthopedic surgery,…
Avera McKennan finds innovative strategies to address orthopedic pain management
Postsurgical pain scores are highly correlated with reports of overall patient satisfaction during hospital stays, according to a poster presented at the 2014 American Academy of Pain Medicine annual meeting. Dermot Maher, MD, and his colleagues from Cedars Sinai Medical Center in Los Angeles examined patient responses on HCAHPS (Hospital…
Editorial
If you skipped this year's OR Manager conference, you missed an opportunity to learn about the evolution of healthcare delivery and the changes you should be making at your facility. Improving the patient’s experience of care was an underlying theme. We’ve all heard about the shift from volume-based to value-based…
Patient safety, satisfaction rise to top of priority list
OR leaders have always been committed to patient safety, but an increased focus on quality has them redoubling their efforts. With the recent initiatives linking patient satisfaction to reimbursement, it’s not surprising that OR leaders are emphasizing patient safety and satisfaction, as reflected in comments from the 24th annual OR…
Ritz customer service rules boost staff morale during difficult transitions
If a fancy hotel can make its guests feel well cared for, why can’t a surgery center do the same? Spivey Station Surgery Center in Jonesboro, Georgia, discovered that using principles of hospitality could take it beyond excellent patient care to higher levels of patient satisfaction and staff morale. …
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