Editor's Note Older patients who had major abdominal surgery and received interventions that included daily orienting communication, oral and nutritional assistance, and early mobilization were less likely to experience delirium and had a shorter hospital length of stay (LOS), this study finds. A total of 377 patients were included in…

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Editor's Note Early postoperative discharge after major inpatient surgery was associated with lower total surgical episode payments in this study. In this analysis of 639,943 Medicare beneficiaries undergoing colectomy, coronary artery bypass grafting (CABG), or total hip replacement, payments were significantly lower in hospitals with lowest vs highest length of…

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Healthcare is striving to become an industry of high-reliability organizations, and part of being a high-reliability industry means staying vigilant and identifying problems proactively. ECRI Institute’s annual Top 10 list helps organizations identify looming patient safety challenges and offers suggestions and resources for addressing them. ECRI Institute relied on event…

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Editor's Note The Joint Commission announced on May 3 that accreditation programs for ambulatory care (85 fewer), behavioral healthcare (63 fewer), critical access hospitals (143 fewer), home care (65 fewer), laboratories (50 fewer), nursing care centers (59 fewer), and office-based surgery practices (50 fewer) will see fewer elements of performance…

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Editor's Note Air particle counts (APCs) in the OR increase in relation to traffic and door openings, this study finds. Over 1 week, researchers recorded APCs in 5-minute intervals and movement of healthcare workers in the OR. Trained observers recorded information about traffic, door openings, job title of the opener,…

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Editor's Note The Joint Commission announced April 26 that Select Medical, based in Mechanicsburg, Pennsylvania, is the first recipient of its Physician Leader Forum Challenge Award. The award recognizes Select Medical’s leading practice for wound care and prevention of pressure ulcers in patients throughout the system. An improvement project lowered…

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Editor's Note In this study, data show that Veterans Affairs (VA) hospitals have a similar or more favorable quality compared with non-VA hospitals. Data for 129 VA and 4,010 non-VA hospitals were evaluated on 17 outcome measures (9 Agency for Healthcare Research and Quality Patient Safety Indicators [PSIs], 4 mortality…

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Healthcare lags behind other industries when it comes to innovation. That’s partly because new treatments must be vetted for safety and efficacy, and partly because fee-for-service reimbursement sparked little incentive for creativity and efficiency. Under value-based purchasing, OR leaders have more opportunity to be innovative, but first they must understand…

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One of the biggest challenges for OR managers is efficient use of OR blocks. OR managers struggle to balance revenue and utilization targets with surgeon and staff preferences. The result is underutilized OR time, unnecessary costs, and dissatisfied staff. “Let’s face it, our block allocation process isn’t very efficient,” says…

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Major changes at a facility such as reorganizing service lines or adding new ORs can be highly disruptive, cutting into productivity and potentially loss of revenue. What can OR managers do to avoid this situation? At Vanderbilt University Medical Center in Nashville, OR leaders were facing several simultaneous challenges: planning…

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