Communication

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October 2017
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Patients identify factors that contribute to readmissions

Editor's Note This is the first study to use a human factors and systems engineering approach to evaluate contributors to readmissions after complex surgical procedures. Previous studies on readmissions have neglected the patient perspective, the authors say. Factors identified by patients and clinician providers that may have contributed to readmissions…

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By: OR Manager
September 22, 2015
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OR team uses evidence-based practices to reduce readmissions

Concerted efforts to reduce readmissions have paid off at Inova Fairfax Hospital in Falls Church, Virginia. Among its bragging rights since launching an initiative last year: decreased length of stay for colorectal surgery patients and a downward trend in readmissions. To learn how they did it, OR Manager spoke with…

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By: OR Manager
September 22, 2015
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Empowering staff yields high return on investment

Building healthy relationships between leaders and employees is vital to the success of any organization. It’s especially important in perioperative services because of the teamwork needed to provide safe patient care. OR leaders must invest in their employees by fostering trust, job embeddedness, and employee commitment, empowerment, and accountability.  …

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By: OR Manager
September 22, 2015
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Role of smartphones in the OR

Editor's Note Like healthcare facilities across the country, those in Oregon are struggling with the growing problem of smartphones in the OR. This article and audio includes interviews OR personnel, residents, medical students, managers, administrators, and patient safety regulators on the issue of smartphones in the OR. The executive director…

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By: OR Manager
August 5, 2015
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Adaptive Design makes patient-centered care a part of every day

Providing ideal patient care is the fundamental purpose behind Adaptive Design, an innovative systems approach that engages frontline staff in problem solving and focuses on improving patient care as part of everyone’s daily work. “More access to better care at a continually lower cost is the promise of doing Adaptive…

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By: OR Manager
July 22, 2015
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Lean tools help staff weed out bioburden pests

At least half the battle in making and sustaining process improvements is getting the entire team on board with a new workflow. One key to getting buy-in from staff is to clarify why changes are needed and what the consequences may be if the new processes aren’t followed. In a…

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By: OR Manager
July 22, 2015
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Creating a powerful partnership between the OR and the SPD

Perhaps no other departments in a hospital work as closely together as the OR and the sterile processing department, yet friction isn’t uncommon as both areas strive to meet service demands. Although the relationship between the two is unlikely to ever be free of tension, leaders of both departments increasingly…

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By: OR Manager
July 22, 2015
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Are guidelines needed for cell phones in the OR?

Editor's Note There are no federal regulations or quality measures that address cell phone use in the OR, but some say the time for clear-cut guidelines has come. They cite errors and lax safety procedures that have resulted from physicians and nurses distracted by cell phone use. But others point…

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By: OR Manager
July 15, 2015
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The Impact of Operating Room Distractions on Stress, Workload, and Teamwork

Our Take Distractions in the OR are associated with higher mental workload and stress and poorer teamwork among OR personnel, a study finds. The most prevalent distractions were those from external staff, followed by case-irrelevant conversations. Case-irrelevant conversations initiated by surgeons were associated with lower teamwork in surgeons and anesthesiologists. Equipment-related…

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By: OR Manager
July 1, 2015
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Cost data comparisons help sway surgeons to standardize supplies

As payment models move from fee-for-service to value-based care, hospitals and healthcare systems are trying to reduce spending by 20% to 30% to maintain their budgets. Supply costs are usually the second largest expense after labor, and industry analysts predict they will take the top slot by 2020. In 2013,…

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By: OR Manager
June 16, 2015
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