Integrate systems to sustain gains from process change
Many organizations have reaped the benefits of adopting Lean concepts, such as greater workflow efficiency, staff engagement, and cost savings. After initial improvements are made, however, it can be hard to sustain the process changes over time. That was the case at Nemours A. I. duPont Hospital for Children in…
Adaptive Design makes patient-centered care a part of every day
Providing ideal patient care is the fundamental purpose behind Adaptive Design, an innovative systems approach that engages frontline staff in problem solving and focuses on improving patient care as part of everyone’s daily work. “More access to better care at a continually lower cost is the promise of doing Adaptive…
Lean tools help staff weed out bioburden pests
At least half the battle in making and sustaining process improvements is getting the entire team on board with a new workflow. One key to getting buy-in from staff is to clarify why changes are needed and what the consequences may be if the new processes aren’t followed. In a…
Take time to make time: Involve your team in closing schedule gaps
Turnover time and first case on-time starts are a common problem in most ORs, so leaders are always seeking ideas for improvement. OR Manager recently spoke with two leaders who have had remarkable success in each of these areas. The Dartmouth-Hitchcock experience When the average turnover time (TOT) at…
Five-step process provides framework for managing supplies
Problems such as frequently running out of critical items, expired inventory, and secret stockpiling in the OR have become increasingly burdensome for surgeons, nursing staff, and hospital administration across the country. Wasteful supply chain spending marginalizes patient care and drives OR expenses out of control. “When the facility’s difficulties in…
US News ranks best hospitals
Editor's Note US News & World Report has posted its honor roll of the 15 best hospitals for 2015 to 2016. Honor roll hospitals scored near the top in at lease six specialties. Boston’s Massachusetts General Hospital returned to the top spot this year after being second last year. The…
Joint Commission urges hospitals to share successes via CSME
Editor's Note The Joint Commission is urging accredited hospitals to share their performance measure solutions in the Core Measure Solution Exchange (CSME). CSME is an interactive, online, peer-to-peer collaborative network where hospitals that have attained excellent performance on core measures, including accountability measures, can share their success stories. To date,…
Surgical resident work hours reform does not improve patient safety
Editor's Note Work-hour restrictions for surgical resident, revised nationally 4 years ago to protect patients against fatigue-related errors, have not had the desired effect of lowering postoperative complication rates, according to this new study. Researchers from the American College of Surgeons found no significant difference in surgical outcomes between 1…
Efficient health information exchange could significantly lower costs
Editor's Note Including a health information exchange query into emergency department patient care could significantly reduce the number of tests ordered and reduce costs, finds this study. Efficient health information exchange was associated with a 52% reduction in lab tests and a 36% reduction in radiology exams per patient ordered…
Time-to-readmission after surgery linked to increased mortality
Editor's Note Surgical readmissions within 10 days of discharge were disproportionately common and associated with increased mortality in this study. Increasing time-to-readmission correlated with a stepwise decrease in mortality: For example, 90-day mortality was 12.6% in patients readmitted between 1 and 5 days, 11.4% at 6 to 10 days, and…
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