Staffing

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December 2017
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Editorial

Projections of growth in nursing over the next several years seem to belie the shortage forecast just a few years ago. According to the US Bureau of Labor Statistics, employment of registered nurses is projected to grow 16% between 2014 and 2024. And by 2025, says a report from the…

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By: Elizabeth Wood
May 17, 2017
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START makes a good case for greater scheduling accuracy

Accurate OR case scheduling is a key performance indicator that is challenging to manage. The published literature often focuses on scheduling algorithms using historical data, the surgeon’s own estimate, or a mix of similar procedures. This mathematical approach neglects the cultural, economic, behavioral, and process challenges that impact attempts to…

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By: OR Manager
May 17, 2017
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Discontinuity of nursing care negatively impacts patient outcomes

Editor's Note In this study, discontinuity in nursing care was high and negatively impacted patient outcomes. The analysis of 3,892 medical-surgical inpatients found that discontinuity of nursing care declined from nearly 100% in the first 24 hours, to 70% at 36 hours, and to 50% by the 10th postadmission day.…

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By: Judy Mathias
March 22, 2017
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Hospital-academia partnerships steer new nurses to the OR

Traditionally, nursing students have had little exposure to the perioperative setting, creating a challenge for OR leaders seeking to build the future workforce. How can they spark interest in the OR, if students haven’t experienced it? One way is for hospitals to partner with schools of nursing. Two innovative programs…

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By: OR Manager
March 16, 2017
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Impact of role stressors on nurse managers’ health

Editor's Note This Canadian study finds that nurse managers’ coping strategies may be inadequate and could negatively impact their long-term health. Interviews with 23 nurse managers and 1 focus group found that nurse managers have severely high levels of role stressors that include: Working with limited resources (budget and staff).…

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By: Judy Mathias
March 6, 2017
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12-week program prepares new nurses for the OR

If you told OR leaders they could onboard a nurse without previous surgical experience in just 12 weeks, most would scoff, “Impossible!” But at Sutter Health University, the impossible has become not only possible, but highly successful, thanks to an innovative program created by Renee Dodge, MSN, RN, RNFA, CNOR,…

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By: OR Manager
February 17, 2017
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Interplay between surgeon, anesthesiologist affects productivity

Editor's Note Assigning certain anesthesiologists to specific surgeons affected team performance and turnaround time in this study. Researchers assessed the relationship between turnaround times and assignment of anesthesiologists to surgeons using a Monte Carlo simulation. They constructed managerial decision tables for the assignments, and defined a decision algorithm based on…

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By: Judy Mathias
December 7, 2016
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Effect of shift-related sleep deprivation on heart function

Editor's Note Twenty-four hour, shift-related, short-term sleep deprivation leads to a significant increase in cardiac contractility, blood pressure, heart rate, and stress hormone secretion, finds this study presented December 2 at the Radiological Society of North America's annual meeting. The study included 20 healthy radiologist volunteers. Their heart function was…

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By: Judy Mathias
December 6, 2016
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Impact of discontinuity in nursing care

Editor's Note Discontinuity in nursing care in hospitals was high and negatively impacted patient clinical conditions in this study. Discontinuity in care declined from nearly 100% in the first 24 hours, to 70% at 36 hours, and to 50% by the 10th day after admission. Each instance of discontinuity lead…

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By: Judy Mathias
November 29, 2016
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Residents’ perceptions of patient safety linked to duty hour violations

Editor's Note Surgical residents who perceived negative effects of The Accreditation Council for Graduate Medical Education’s duty hour policies on patient safety were more likely to violate duty hour policies, this study finds. Of 4,554 residents in 184 programs analyzed: 25.3% felt the current duty hour policies negatively affected patient…

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By: Judy Mathias
November 28, 2016
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