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October 2017
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Overlapping surgeries not linked to worse outcomes

Editor's Note Contrary to claims that overlapping surgeries are dangerous or harmful to patients, they were not found to be associated with worse patient outcomes in this study presented April 25 at the 2017 American Association of Neurological Surgeons Annual Scientific Meeting in Los Angeles. The analysis included 14,872 neurosurgical…

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By: Judy Mathias
April 27, 2017
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Survey on public perceptions of overlapping surgery

Editor's Note A survey of public perceptions of overlapping surgery found that only a small minority of the general public is aware of the practice. Of 1,454 respondents, 56 (3.9%) were aware of overlapping surgery, and 440 (31%) supported or strongly supported the practice. The majority believed attending surgeons should…

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By: Judy Mathias
April 25, 2017
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VCU residents will receive training at Richmond ASC

Editor's Note Virginia Commonwealth University (VCU) graduate medical students will now receive part of their resident training at MEDARVA Healthcare’s ambulatory surgery center (ASC) in Richmond, the April 19 Virginia Business reports. Residents in eight programs will rotate through Stony Point Surgery Center with VCU surgeons who use the facility.…

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By: Judy Mathias
April 25, 2017
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Supplementing OR teaching with video-based coaching

Editor's Note This study finds that video-based coaching is feasible for supplementing intraoperative teaching of residents to perform surgery. Teaching in a video-based coaching session was compared with teaching points made during a corresponding OR case. Teaching in video-based coaching sessions was more resident centered. Surgeons were more inquisitive about…

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By: Judy Mathias
April 21, 2017
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Innovation: The path to superior OR teamwork and results

Healthcare lags behind other industries when it comes to innovation. That’s partly because new treatments must be vetted for safety and efficacy, and partly because fee-for-service reimbursement sparked little incentive for creativity and efficiency. Under value-based purchasing, OR leaders have more opportunity to be innovative, but first they must understand…

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By: Cynthia Saver, MS, RN
April 21, 2017
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OR utilization improves with data gleaned from software program

One of the biggest challenges for OR managers is efficient use of OR blocks. OR managers struggle to balance revenue and utilization targets with surgeon and staff preferences. The result is underutilized OR time, unnecessary costs, and dissatisfied staff. “Let’s face it, our block allocation process isn’t very efficient,” says…

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By: Judith M. Mathias, MA, RN
April 21, 2017
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Conference speaker advocates a ‘drama-free’ OR

Creating a harmonious work environment can only be achieved through effective leadership that discourages conflict and negativity. “Ditching the drama, restoring sanity to the workplace, and turning excuses into results” is how Cy Wakeman, MS, BSW, describes her leadership philosophy. “Circumstances are not the reasons we can’t succeed—they are the…

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By: Paula DeJohn
April 21, 2017
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Evidence-based practice supports adopting ERAS protocols

As part of the shift to value-based care, a logical step for healthcare organizations is to adopt enhanced recovery after surgery (ERAS) protocols. The literature supporting the use of ERAS is growing, with many studies demonstrating that it leads to shorter length of stay (LOS) and fewer complications. Results of…

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By: Elizabeth Wood
April 21, 2017
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Turnover times improve with multiphase approach

Major changes at a facility such as reorganizing service lines or adding new ORs can be highly disruptive, cutting into productivity and potentially loss of revenue. What can OR managers do to avoid this situation? At Vanderbilt University Medical Center in Nashville, OR leaders were facing several simultaneous challenges: planning…

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By: Cynthia Saver, MS, RN
April 21, 2017
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ASC reaps rewards of recycling and reprocessing

What began as an employee request to reduce waste and create a “greener” workplace has resulted in an international award for TRIA Orthopedic Center, Bloomington, Minnesota. By conserving materials and energy, the ambulatory surgery center (ASC) not only reduced its environmental impact, but also saved money. The initiative started with…

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By: Paula DeJohn
April 21, 2017
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