Communication

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February 2018
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Improving readability of discharge instructions linked to fewer follow-up phone calls

  Editor's Note Making discharge instructions easier to read resulted in fewer phone calls from traumatic injury patients after discharge, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of 1,006 patients were included in the study, 493 in…

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By: Judy Mathias
October 31, 2017
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CMUNRO SCALE created to facilitate risk assessment for pressure injuries

In 2016, after 10 years of research and validation, Cassendra Munro’s Pressure Ulcer Risk Assessment Scale for Perioperative Patients (Munro Scale) was made available for use in the perioperative setting and was added to the AORN Prevention of Pressure Ulcers Tool Kit. The Munro Scale assesses a patient’s risk level…

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By: Judith M. Mathias, MA, RN
October 19, 2017
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Improved communication tools put PACU visitors at ease

About 8 years ago, Maine Medical Center (MMC) in Portland had a policy that required visitors to wait in the surgery waiting room at least 3 hours before being allowed to visit their loved ones. The postanesthesia care unit (PACU) nurse was not expected to communicate with the family while…

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By: OR Manager
October 19, 2017
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Walk the talk: Words matter when it comes to patient safety

Every week Ann Shimek, MSN, BSN, RN, CASC, hits the road to communicate about communicating. Shimek is senior vice president of clinical operations at United Surgical Partners International (USPI) in Addison, Texas. She and her team of six clinical nurses travel among USPI’s 21 hospitals and 260 ambulatory surgery centers…

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By: Leslie Flowers
October 19, 2017
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More hospitals allow nurses, physicians to use own electronic devices

Editor's Note Research from Spok Inc found 71% of hospitals allow physicians and nurses to use their own electronic devices at work, compared with 58% last year, the September 21 Healthcare Informatics reports. The researchers also found that: 38% of physicians favored having a hospital-issued device, and they use an…

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By: Judy Mathias
September 26, 2017
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Successful onboarding of surgeons makes good business sense

Perioperative staff complete a thorough orientation to ease their transition into a new job, but what about surgeons? How are they onboarded into a new OR? This isn’t an academic question—effective onboarding is key to the success, including financial success, of the OR. “To have someone walk through the door…

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By: Cynthia Saver, MS, RN
September 20, 2017
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Joint Commission issues Sentinel Event Alert on inadequate hand-offs

Editor's Note The Joint Commission on September 13 announced a new Sentinel Event Alert that focuses on inadequate hand-offs and tips to improve them. A common problem with hand-offs is communication, which is the focus of “Sentinel Event Alert, Issue 58: Inadequate hand-off communication.” The alert includes an infographic of…

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By: Judy Mathias
September 14, 2017
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Causes of malpractice lawsuits against surgical residents

Editor's Note This database review of malpractice lawsuits against surgical residents highlights the importance of perioperative management, particularly among junior residents, and the importance of appropriate supervision by attending physicians as targets for education on litigation prevention. During a 10-year period, 87 malpractice cases involving surgical residents were identified. Results…

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By: Judy Mathias
September 6, 2017
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Barriers, benefits of using mobile health technology postoperatively

Editor's Note This survey of 800 patients identified a range of potential barriers and benefits to using mobile health technology to enhance recovery after surgery. Potential barriers included: protecting personal health information technology effectiveness and failure preference for face-to-face interaction with their surgeons level of effort required ability of older…

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By: Judy Mathias
August 30, 2017
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Peer feedback helps promote professionalism in the OR

Behaviors that undermine a culture of safety and respect have long been a concern among healthcare workers and professionals. Such conduct can adversely affect teamwork, clinical outcomes, and trust. In recent years, unprofessional conduct has come under increased scrutiny by the Joint Commission, American Medical Association, AORN, and other professional…

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By: Judith M. Mathias, MA, RN
August 22, 2017
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