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December 2017
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Survey finds compensation key to physician retention

Editor's Note In the annual Physician Practice Preference & Relocation Survey from The Medicus Firm, nearly 3 in 10 physicians say concerns about appropriate compensation is the primary reason they would consider a career change, the July 5 FierceHealthcare reports. More than 17% of respondents say they will “likely” or…

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By: Judy Mathias
July 11, 2017
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New guidelines published on enhanced recovery after colon, rectal surgery

Editor's Note The American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal Endoscopic Surgeons have jointly published new clinical practice guidelines on enhanced recovery after colon and rectal surgery. The enhanced recovery protocol is multidisciplinary, including physicians, nurses, physical therapists, and dietitians and involves all aspects of care…

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By: Judy Mathias
July 10, 2017
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Influence of nurse leaders on professional practice environment

Editor's Note Nurse leaders are integral in enhancing professional practice environments, and their influence links structures necessary for an environment that supports outcomes, this study finds. In this analysis of 30 nurse leaders and 169 clinical nurses at a 247-bed acute care Magnet hospital, leaders perceived their influence from “often”…

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By: Judy Mathias
July 6, 2017
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Joint Commission: Quick Safety on daily safety briefings

Editor's Note The Joint Commission on June 28 posted a Quick Safety on daily safety briefings--a hallmark of high reliability organizations. Safety briefings--also called safety huddles, daily check-ins, or daily safety calls--are used to give keep frontline staff and leadership informed. The briefings can be used to: share issues that…

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By: Judy Mathias
June 29, 2017
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New study sheds light on how night-shift work damages health

Editor's Note A new Fred Hutchinson Cancer Research Center study finds that the body repairs DNA damage more efficiently if workers sleep during the night than if they sleep during the day. Unrepaired DNA damage can lead to cancer and other health problems. Using urine specimens collected during night work…

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By: Judy Mathias
June 27, 2017
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Lack of shared mental model in cardiac surgical team members may contribute to errors

Editor's Note Cardiac surgical team members recognize distinct critical time points during cardiac surgery, but a high degree of variability exists between members as to the importance of these times, which suggests an absence of a shared mental model, this study finds. Cardiac team members from three institutions developed a…

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By: Judy Mathias
June 23, 2017
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Surgical ‘ICU boarders’ get less attention from physicians, caregivers

Editor's Note Surgical ICU patients boarding in alternative ICUs because of overcrowding are often seen at the end of rounds, receive fewer face-to-face assessments from physicians, and are given less bedside attention by ICU provider teams, this study finds. The researchers found that: caregivers spent about 16% less time on…

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By: Judy Mathias
June 20, 2017
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Avoiding blood wastage in the OR can improve bottom line

Keeping a close eye on implants that are opened and not used is one way OR leaders can track practices that add significantly to costs. But what about blood products? Blood taken to the OR and not used also can be costly. Although an individual unit of blood doesn't compare…

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By: Cynthia Saver, MS, RN
June 20, 2017
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New instrument shows promise as low-cost alternative to robot

Researchers at the University of Michigan (U-M), Ann Arbor, have invented a new surgical instrument with the goal of addressing a vast, unmet need in minimally invasive surgery. For less than a thousand dollars, this platform technology—currently being commercialized by the start-up FlexDex Surgical—offers capabilities similar to those of the…

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By: Judith M. Mathias, MA, RN
June 20, 2017
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Customer service can make or break a patient's experience

Healthcare providers and their patients have benefited from practices borrowed from other industries—for example, the checklists and time-outs used in aviation or the Lean management principles used in manufacturing. Applying lessons learned in the entertainment industry to the hospital setting may seem like a stretch, but Dennis Snow will explore…

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By: Paula DeJohn
June 20, 2017
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