Preoperative Care

Latest Issue of OR Manager
December 2017

App helps surgical patients recover faster

Editor's Note To help surgical patients recover faster, Rush University Medical Center in Chicago has started providing them with a computer app that prompts, monitors, and encourages activities that promote healing. The app, called “SeamlessMD,” can be downloaded to a patient’s smartphone, tablet, or computer and is part of Rush’s…

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By: Judy Mathias
March 8, 2017
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Study: Improving preop throughput

Editor's Note Healthcare managers’ top priority needs to focus on work environment design to improve preoperative throughput and OR first-case on time starts, this study finds. Two main barriers were identified−lack of equipment and availability of equipment in the preoperative area. Four vital sign monitors with wheels were purchased, as were…

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By: Judy Mathias
March 7, 2017
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CDC publishes cancer screening stats

Editor's Note More adults are getting screening tests for colorectal cancer but not for breast or cervical cancers, according to new data from the Centers Disease Control and Prevention (CDC). From 2000 to 2015, the rate of colorectal cancer screening increased from 33% to 62% in men and from 35%…

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By: Judy Mathias
March 7, 2017
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Case cancellations reduced by preop patient phone calls

Cancellation of surgical cases, especially prescheduled elective surgeries, is a pervasive problem that reduces OR utilization and hospital revenue. The estimated direct and indirect annual cost of such cancellations across the US is approximately $39 billion per year, with an average OR cost between $20 and $65 per minute. Facilities…

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By: OR Manager
February 17, 2017
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Lean processes improve surgical wait times at VA hospital

Editor's Note Implementation of Lean system redesigns was associated with a significant and sustained wait list reduction from 33.4 days to 12.0 days for patients waiting for elective general surgery procedures at a Veterans Affairs medical center, this study finds. The study covered FY 2012 to 2014. At the same…

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By: Judy Mathias
January 19, 2017
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2015 OR Business Management eLearning Course: Delivering High-Quality Health Care for Low Cost: Rethinking the Way We Look at Supplies in the OR

OR Manager presents this eLearning course created from a popular session at the 2015 OR Business Management Conference, pre-approved for 1.5 contact hours. This eLearning course was presented by expert speakers from the conference. Delivering High-Quality Health Care for Low Cost: Rethinking the Way We Look at Supplies in the OR:…

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ASA updates guidelines for preop fasting, drugs to reduce pulmonary aspiration risk

Editor's Note The American Society of Anesthesiologists (ASA) has published new “Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: Application to health patients undergoing elective procedures.” The document updates its guidelines published in 2011. The guidelines are intended for use…

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By: Judy Mathias
January 6, 2017
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SSIs fall sharply with team-based protocol changes

Surgical site infections (SSIs) are a major cause of morbidity in surgical patients, leading to increased length of stay and healthcare costs. No single intervention has demonstrated efficacy in reducing SSIs. When SSIs rose to a rate of 16.3% in 2013 at St Elizabeth Boardman Hospital in Boardman, Ohio, perioperative…

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By: OR Manager
December 14, 2016
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Huddles help hospitals move toward the goal

Like a football team gathering to confirm tactical details before a play, surgical staff often form a huddle to ensure readiness of the providers, patient, and equipment for the upcoming procedure. In a twist on the traditional huddle the day before surgery, staff at the Hospital of Central Connecticut (HOCC)…

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By: OR Manager
December 14, 2016
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Prehabilitation program improves preop fitness in colon cancer patients

Editor's Note Engaging colon cancer patients in a prehabilitation program 4 weeks before surgery modified exercise behaviors and improved physical function, which improved postoperative outcomes, finds this study. Researchers randomized 116 patients to either a prehabilitation program (57 patients) or a control group (59 patients). After 4 weeks, compared with…

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By: Judy Mathias
December 7, 2016
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Apps helping patients before, after surgery

Editor's Note Chicacgo-area hospitals are using apps to help patients prepare for and recover from surgery and communicate their symptoms, the November 30 Chicago Tribune reports. Amita Health is now using the TapCloud app with good results−of 309 orthopedic patients who have used the app, none have had to be…

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By: Judy Mathias
December 1, 2016
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The Affordable Care Act: How Healthcare Reform Is Impacting Your Hospital FREE On Demand Webinar

Sponsored by:         CEs: 1 Contact Hour  *Please note that this event is held in Eastern Standard Time The Affordable Care Act: How Healthcare Reform Is Impacting Your Hospital The Affordable Care Act (ACA) is a hallmark initiative that has had a major impact on the delivery…

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