Culture

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February 2018
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Bullying: From conflict to confrontation to civility in the OR--Part 2

Kermit the frog famously said, “it’s not easy being green.” He longed to be some other color, and OR leaders faced with managing a bully have probably wished they, too, could be someone—or somewhere—else. Using some recommended approaches can help. In Part 2 of this three-part series on bullying, OR…

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By: Cynthia Saver, MS, RN
January 19, 2018
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Bullying: From conflict to confrontation to civility in the OR—Part 1

Nurse bullying is a hot issue, even in the lay press—consider the 2015 Marie Claire article, “Mean Girls of the ER: The Alarming Nurse Culture of Bullying and Hazing.” Numbers vary, but the American Nurses Association reports that between 18% and 31% of nurses have experienced bullying at work. The…

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By: Cynthia Saver
December 14, 2017
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Peer initiative cultivates a better OR culture

The following “success story” describes the PEER initiative at Geisinger Medical Center, which has involved staff in making decisions to improve processes and communication. OR Manager periodically publishes success stories like this from nurse leaders or other healthcare providers who want to share their experience with our readers. Recent examples…

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By: OR Manager
December 14, 2017
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Just culture creates a safe, positive environment

Just culture has become a bit of a buzzword, so it’s worth revisiting what the term truly means and how it can be implemented and sustained. Although it’s a powerful tool for improving patient safety, just culture is effective only when leaders set expectations for processes and behavior, and address…

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By: Cynthia Saver, MS, RN
November 15, 2017
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Perception of OR safety of surgical practice linked to postop mortality

Editor's Note The perception of safety of surgical practice among OR personnel was associated with hospital level 30-day postoperative patient mortality rates in this study. As part of the Safe Surgery 2015: South Carolina initiative, a baseline survey measuring perception of safety of surgical practice among OR personnel was completed.…

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By: Judy Mathias
August 25, 2017
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Constructive Culture + Performance Improvement = Patient Safety and Favorable Outcomes

After this session, you will be able to: 1. Utilize methods to conduct a safety assessment questionnaire (SAQ), debrief, and two-question survey. 2. Identify opportunities for improvement using outcomes data. 3. Describe a plan using outcomes data to improve surgical results and enhance the safety culture. Why this is important:…

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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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Joint Commission issues new alert on safety culture

Editor's Note The Joint Commission on March 1 issued a new Sentinel Event Alert on “The essential role of leadership in developing a safety culture.” Leadership’s failure to create an effective safety culture is contributing to adverse events such as wrong-site surgery and delays in treatment, the Joint Commission says.…

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By: Judy Mathias
March 2, 2017
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Military leadership principles point way to better patient care

Physicians receive little leadership training in medical school, so they don’t always perform well in leadership roles. At Florida Hospital Orlando, that education gap is being filled through the Physician Leader Development (PLD) program, which applies military leadership principles to the healthcare setting. The innovative course has benefited not only…

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By: OR Manager
December 14, 2016
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Targeted communication training raises hospital safety culture scores

Implementation of crew resource management training at a large academic medical center led to statistically significant improvements in 10 out of 12 dimensions of safety culture, according to surveys conducted before and after training took place. Crew resource management (CRM) is a systematic approach adapted from the airline industry to…

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By: OR Manager
August 8, 2016
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Culture change: The best defense against communication failures

Although most OR clinicians would agree poor team communication puts patients at risk, misunderstandings are not uncommon in the perioperative setting. Understanding how communication failures occur and how to correct course takes time and effort, but using the right tools and educating staff can ultimately make patients safer. “The biggest…

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By: OR Manager
April 20, 2016
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Breakfast and Presentation: The Impact of an OR Environmental Hygiene Program on Operating Room Culture and Cleanliness: How to Build a Business Case for Success sponsored by Ecolab

Learn from the experts! To start your day, this general session will enable you to take the next steps to improve the cleanliness and turnover time of your operating room all while enjoying an energizing breakfast presented by Ecolab. With experience working at a hospital with 29 operating rooms, Maria…

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