Targeted communication training raises hospital safety culture scores
Implementation of crew resource management training at a large academic medical center led to statistically significant improvements in 10 out of 12 dimensions of safety culture, according to surveys conducted before and after training took place. Crew resource management (CRM) is a systematic approach adapted from the airline industry to…
Association between checklist performance and surgeon buy-in, surgical teamwork
Editor's Note Surgeon buy-in and surgical teamwork were crucial in prompting case-related conversations but not in completing surgical safety checklists, this study finds. Of 207 procedures observed by 10 South Carolina hospitals, few teams completed most or all surgical safety checklist items. All measures of teamwork and surgeon buy-in related…
Teamwork key to survival of Orlando shooting victims
It was shortly after 2 am on Sunday, June 12. Ambulances, trucks, and cars started arriving at Orlando Regional Medical Center (ORMC) loaded with shooting victims from a terrorist attack at the Pulse nightclub. Because ORMC was just a couple of blocks from the nightclub, first responders loaded multiple victims…
Effect of inspirational managers on employee health
Editor's Note Mangers who inspire their staff members who work in groups to perform above and beyond the call of duty may harm their employees' health, finds this study. The results suggest that constant pressure from transformational leaders to make an extra effort at work may promote self-sacrifice in vulnerable…
Orthopedic service line takes health system to another level
Total joint replacements have grown rapidly in recent years, thanks to an aging population and advances in surgical techniques and pain management. As a result, many healthcare facilities have added joint and spine procedures to their service lines. Others would like to know how to do this. What’s involved in…
Surgical development teams save millions in clinical costs
Surgeon champions can make or break a perioperative initiative. But it’s not enough to simply identify a single champion. OR leaders must engage a wide range of physicians to improve the organizational structure of the healthcare system. At Intermountain Healthcare, a 22-hospital system based in Salt Lake City, Utah, surgical…
Musical preference differs by OR specialty, professional role
Editor's Note Musical preferences and perceptions of the effect of music in the OR differ by professional status and specialty, this study finds. A survey of 282 patients and 390 providers (ie, physicians, residents, and nurses in anesthesiology and surgery), found that: Patients who highly enjoyed music said it alleviated…
Simulation can be an affordable tool for improving care
How can OR managers better prepare staff to handle crisis situations? How can they encourage teamwork? Increasingly, OR leaders are turning to simulation to answer those questions. OR leaders who think they can’t afford a high-fidelity manikin (one that talks and exhibits physiologic changes) and state-of-the-art simulation lab might…
Simulation lab a safe way to practice crisis management
Emergencies such as the one described above don’t happen frequently in the OR, but it is important to prepare for them, and simulation has emerged as an ideal educational tool. This scenario took place in a simulation lab, not a real OR, so the danger to the “patient” (manikin) consisted…
Professional peer review compels staff to improve performance and quality--Part 2
Part 1 of this two-part series, published in the January issue of OR Manager, discussed the concepts of professional peer review (PPR). In this article, experts from University Medical Center (UMC) in Lubbock, Texas, and Boston Medical Center share strategies for implementing the process. Staff involvement Once staff understand…
Free Daily News
- Study: ERAS protocol reduces opioid use after cardiac surgery
- Study: Prehabilitation reduces surgical complications, speeds recovery
- Commentary: Studies show how surgeon decisions follow the money
- Proposed HIPAA updates would improve cybersecurity, increase costs for healthcare providers
- Study: EMR data can enhance hand hygiene compliance, infection prevention
- Study: Machine learning model improves perioperative pain assessment
- Call for improved suicide risk screening in ASCs aims to strengthen safety protocols
- Study: Perioperative pregabalin reduces risk of kidney decline compared to gabapentin
- Medical school diversity declines after Supreme Court ruling
- Surgeons risk losing ground as transcatheter tricuspid valve interventions rise