Lean makes a clean sweep of the OR
Reducing room turnover time is a goal in many surgical services departments, and refining the cleaning process is one path to success. Implementing a Lean process improvement at our hospital helped us not only meet but exceed our targets for room cleanliness and cleaning time. A 73% average rate of…
Zones establish structure and routine for OR setup
Learning to circulate can be overwhelming and intimidating for new nurses. They may learn two or three different ways to set up a room, on two or three different days, from two or three different preceptors. Having a consistent, systematic way to set up an OR can help relieve the…
Joint Commission releases new online high reliability assessment and library
Editor's Note The Joint Commission Center for Transforming Healthcare on October 15 released Oro 2.0, an online high reliability assessment and resource library to help hospital leaders determine their organizations’ level of high reliability maturity. The assessment process guides users through a series of questions that allows for discussion and…
Variation in patient-reported outcomes after surgery
Editor's Note Patient factors explain a large proportion of hospital variation in postoperative patient-reported outcomes, underscoring the importance of risk adjustment, this study finds. Some variation across hospitals remained unexplained, however, suggesting that patient-reported outcomes may be a viable indicator of hospital performance, the authors conclude. There is a growing…
Magnet hospitals associated with better patient experience
Editor's Note Magnet recognition is associated with better patient care experiences, which may enhance reimbursement for hospitals, this study finds. Nurse researchers compared 212 Magnet hospitals with 212 non-Magnet hospitals. Patients in Magnet hospitals gave their hospitals higher overall ratings, were more likely to recommend their hospitals, and reported more positive…
Achieving quality improvement depends on the local culture
The key to sustaining quality outcomes is promoting confidence and engagement of surgical teams, says Clifford Ko, MD, MS, MSHS, FACS, director of the National Surgical Quality Improvement Program and Division of Research and Optimal Patient Care, at the American College of Surgeons in Chicago. Dr Ko gave the keynote…
Implementation of integrated recovery pathway quickly improves outcomes
Editor's Note A trust-based accountability model that included senior hospital leadership and frontline providers provided an enabling structure to rapidly implement an integrated recovery pathway and quickly improve outcomes, value, and experience of colorectal surgical patients, in this study. The pathway included preoperative education, mechanical bowel preparation with oral antibiotics,…
Editorial
The French proverb, “the more things change, the more they stay the same,” is one way to view the readmission penalties imposed by the Centers for Medicare & Medicaid Services (CMS). About a year ago, a Kaiser Health News report said more than 2,600 hospitals in fiscal year 2015 were…
Quality reports to determine pay rise or fall
Ambulatory surgery centers (ASCs) that have yet to register and report compliance with quality measures can expect a decrease of 0.9% in 2016 from this year’s Medicare reimbursement rates. Those in compliance, however, may see an increase of approximately 1.1%, depending on specialties. As in the past, the Centers for…
Variation in surgical readmissions mostly patient related
Editor's Note Postoperative readmissions occurred in more than 1 in 10 patients, in this study, with considerable variation across specialties. The majority of variation was attributable to patient-related factors (82.8%); surgical specialty accounted for 14.5% of the variability, and individual surgeon factors accounted for 2.8%. After adjusting for patient and…
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