Communication

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December 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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Diverse workforce a boon, not a burden

Generational diversity issues in the workplace have never been more present or more complex. As many as six generations are now working side by side, and a great generational shift is underway. At one end of the spectrum, the workforce is aging, while at the other end, it is getting…

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By: Judith M. Mathias, MA, RN
July 13, 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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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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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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Employee engagement: The path to better patient care--Part 2

Nurse engagement and leadership development were among the top concerns cited in a recent survey of healthcare leaders who reflected on challenges in nursing. To engage the nurse workforce, leaders themselves must be engaged, perioperative services leaders recently told OR Manager. In part 1 of this two-part series, they discussed…

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By: Cynthia Saver, MS, RN
June 20, 2017
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