Surgeon sees standardization and data as keys to higher value healthcare
Over the past decade, the number of quality measurement programs has grown exponentially as hospitals respond to public and government demands for greater accountability and improved patient care. During this time, quality programs have been focused largely on how to do quality, how to measure it, how to improve it,…
Achieving anesthesia provider accountability will boost OR performance
A high-performing anesthesiology group is critical to the success of a hospital OR. Most OR leaders, however, do not know how to work effectively with anesthesia providers to define high performance and establish performance metrics. Traditionally, anesthesia group contracts have not included detailed service standards. Language about anesthesia coverage is…
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,…
Getting all OR staff to buy into debriefing process boosts efficacy
The main distinction between good and bad debriefings comes down to the level of staff engagement. That’s what the surgical team at the University of Colorado Hospital, Aurora, learned during a project designed to improve the quality of the 30- to 60-second conversations held after surgery. “In a good debriefing,…
Be constructive, not combative, with union staff
Union membership has declined steeply in recent decades. Increasingly, organized labor is targeting the healthcare industry as a growth opportunity. This is creating a leadership challenge for OR directors and managers. In 2012, approximately 21% of hospitals in the US had a union nursing staff. That percentage could soon increase…
Software orients staff, advances 'rep-less' model
What started out as a software package to train medical device representatives for the OR has evolved into a program to train OR personnel to scrub and support a “rep-less” model. The software, designed by a former perioperative nurse, helps orient staff to new procedures, documents their competency, and streamlines…
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…
Study sheds new light on natural history of RSIs
Most retained surgical items (RSIs) involve team/system errors and more than two safety omissions or variances, which supports the need for institutional emphasis on team training, finds a study led by S. Peter Stawicki, MD, Ohio State University College of Medicine, Columbus. Though RSIs feature prominently among surgical “never events,”…
Consider a wider range of potential complications to improve patient safety
Reducing preventable complications is a high priority, especially in light of readmission penalties. A recent data analysis by Premier, Inc, has identified 86 high-impact potential inpatient complications (PICs) associated with increased inpatient mortality, costs, and length of stay (LOS). In their study of 530 inpatient facilities, Premier, a healthcare performance…
Utilization soars after block schedule is up and running
Block scheduling can be one of the most contentious issues that OR leaders face, but its effectiveness as an efficiency—and therefore cost management—tool makes it worth pursuing. Implementing block scheduling requires time, finesse, and dedication. James X. Stobinski, PhD, RN, CNOR, says it’s easy for OR managers to underestimate the…
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