The Business of Surgery 
Personal wearable technology, which covers the gamut from activity trackers such as Fitbit to e-textiles that monitor vital signs, have the potential to revolutionize healthcare. Like most innovations, however, the technology comes with risks. For OR leaders, those risks include possible security breaches, distractions, and violation of patient privacy and…
How do OR leaders enhance family members’ satisfaction with the communication they receive when their loved ones are in surgery? Thanks to advances in technology, many are turning to tools like mobile apps and text messaging. At Memorial Medical Center (MMC) in Springfield, Illinois, Lexanne Darwent, BSN, RN, helped implement…
After a 10-year journey, Cassendra Munro’s Pressure Ulcer Risk Assessment Scale for Perioperative Patients (Munro Scale) is available for use in the perioperative setting and has been added to the AORN Prevention of Pressure Ulcers Tool Kit. “It is the most comprehensive risk assessment tool available for use by the…
Orthopedic services are evolving. Total joint patients are younger and healthier, the technology has improved, and procedures are moving to the ambulatory setting. The desire for same-day discharge has raised the bar for provider performance and increased competition among facilities that are adding total joints to their service lines. Younger…
The Hospital Safety Score, issued twice yearly, uses national performance measures from the Leapfrog Hospital Survey, the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, the Centers for Medicare & Medicaid Services (CMS), and the American Hospital Association. Leapfrog rated 2,571 hospitals on their ability…
Some healthcare facility leaders have managed to reduce or even eliminate the incidence of retained surgical items (RSIs), but vulnerability remains despite increased focus on this problem. A 2015 article in the Journal of the American Medical Association cited a median estimate for RSIs: one event per 10,000 procedures, with…
Most OR leaders today are concerned about the growing problem of diabetes in surgical care. More than 30 million people in the US now have diabetes mellitus, and many studies have demonstrated its adverse impact on surgical outcomes. The challenge is translating this research into practice. Managing diabetes is always…
In this challenging healthcare environment, OR leaders have a fiscal responsibility to help hospitals meet financial goals that contribute to a healthy bottom line. There is no more expensive procedure you can have in the hospital than to spend time in the OR,” says Keith Siddel, PhDc, JD, MBA, CHC.…
The perioperative surgical home (PSH) has been gaining momentum, with early results linking it to lower costs, better quality, fewer emergency department (ED) visits and readmissions, and shorter stays in skilled nursing facilities or none at all. In February, the PSH Learning Collaborative, a partnership between the American Society of…
Affordable, reliable care for adult and pediatric patients alike is the hallmark of the perioperative surgical home (PSH), as demonstrated by two organizations that are using PSH programs: a community health system and a children’s hospital. Leaders from both organizations shared their PSH journeys with OR Manager. Lower costs, shorter…
