Professionalism may not be a concept OR leaders consciously think about, but they should. As role models for their staffs, they set the behavior standards for the OR, and failure to insist on professionalism can be damaging. Professionalism is not defined simply by dress or presentation, says David A. Wyatt,…
Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…
Data breaches in the healthcare setting are on the rise, according to recent federal statistics. In November 2019, the US Department of Health and Human Services’ (HHS) Office of Civil Rights reported that 29 data breaches affecting 570,565 patients took place, a notable rise from the more than 311,000 people…
Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…
Virginia Commonwealth University Health System (VCU Health) in Richmond is a Magnet facility, and as such we continually examine innovative ideas to improve the quality, safety, and care of our patients. Evidence has linked Enhanced Recovery After Surgery (ERAS) with better outcomes, and ERAS has become a focal point at…
Hospitals have long dominated the realms of infection control and antibiotic overuse. Ambulatory surgery centers (ASCs), which typically release patients the same day of a procedure, use antibiotics less frequently than other facilities, and most do not have an antimicrobial stewardship program. However, some ASC leaders and organizations are encouraging…
Editor's Note The American College of Radiology (ACR) on March 11 issued a recommendation that CT scans not be used as a first-line screening test to diagnose COVID-19, the March 11 AuntMinnie.com reports. Though early reports from China indicated that CT could detect COVID-19, even when DNA tests were negative,…
Editor's Note This study led by Johns Hopkins researchers provides additional evidence of a median incubation period of approximately 5.1 days for the novel coronavirus disease 2019 (COVID-19). Of 181 confirmed cases of COVID-19 (from China and other countries) with identifiable exposure and symptom onset windows in the analysis, the…
Editor's Note This study of Medicare patients at 340 teaching hospitals and matched patient controls at 2,444 nonteaching hospitals found that as risk of mortality increased, the mortality benefit of treatment at teaching hospitals also increased, though with marginally higher costs. Included in the analysis were 86,751 pairs of general,…
Editor's Note A system-wide, multipronged pain management and opioid reduction program significantly reduced postoperative opioid discharge prescriptions written for more than 5 days, this study finds. Surgeon education, monitoring, and incentives lead to a shift from longer-term to shorter-term prescriptions for patients after surgery, reducing postoperative opioid prescriptions of more…