Quality Improvement

Latest Issue of OR Manager
December 2017
Home Safety/Quality > Quality Improvement

California county goes surgery shopping

Editor's Note California's Santa Barbara County and other government employers are joining private employers in shopping for lower-cost bundled surgical care, even if it means going out of town, the September 1 Kaiser Health News reports. The voluntary program that includes incentives such as waived copays and deductibles as well…

Read More

By: Judy Mathias
September 5, 2017
Share

Effect of mandatory reporting system on prevalence of intraop adverse events

Editor's Note After implementation of an anesthesia information management system (AIMS)-based mandatory quality assurance process for reporting of intraoperative adverse events at two academic medical centers, documented adverse events decreased significantly, this study finds. Over a 2-year period after implementation of mandatory reporting, the adverse event rate at Thomas Jefferson…

Read More

By: Judy Mathias
September 1, 2017
Share

Costs vary widely for common surgical procedures

Editor's Note There is wide cost variation for five common surgical procedures in the US, this study finds. Cost observed-to-expected ratios ranged widely: 14.9-fold for colectomy 5.5-fold for coronary artery bypass graft (CABG) 12.5-fold for lung resection 10.6-fold for total knee arthroplasty 28.0-fold for cesarean section. High-cost hospitals were more…

Read More

By: Judy Mathias
August 30, 2017
Share

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…

Read More

By: Judy Mathias
August 30, 2017
Share

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.…

Read More

By: Judy Mathias
August 25, 2017
Share

Effectiveness of drug-free interventions to reduce pain, opioids after total knee

Editor's Note In this meta-analysis of the effectiveness of nonpharmacological interventions for pain after total knee arthroplasty, electrotherapy and acupuncture were associated with reduced and delayed opioid consumption, but there was low or very low certainty that they improved pain. Continuous passive motion and preoperative exercise did not improve pain…

Read More

By: Judy Mathias
August 24, 2017
Share

ECRI Institute releases free white paper on value analysis

Editor's Note The ECRI Institute on August 23 announced a new free white paper, “Value Analysis: Best Practices for Navigating the Evidence Maze,” to help value analysis committees bring an objective, systematic approach to the decision-making process for health technologies and interventions. The white paper includes three case studies that…

Read More

By: Judy Mathias
August 23, 2017
Share

Orthopedic PSH a prime model for value-based care—Part 2

Organizations that have adopted the perioperative surgical home (PSH) model of patient care have reaped the benefits of improved outcomes and a healthier bottom line. In particular, the PSH has a proven track record for colorectal surgery and orthopedic surgery. In part 1 of this two-part series (OR Manager, August…

Read More

By: Cynthia Saver, MS, RN
August 22, 2017
Share

OR efficiency, staff satisfaction rise with TeamSTEPPS

Perioperative services that implement the TeamSTEPPS program—Team Strategies and Tools to Enhance Performance and Patient Safety—can see a range of benefits such as a better reporting culture, improved operational efficiency, and increased staff satisfaction, suggest emerging data presented in recent webinars and at a national conference. TeamSTEPPS was jointly developed…

Read More

By: Susan London
August 22, 2017
Share

Mobile devices: A menace to propriety and patient privacy

Imagine this scenario in your ambulatory surgery center (ASC): A husband and wife in their early 80s arrive for the husband’s knee replacement surgery. His wife will drive him home after surgery, and their daughter will arrive from out of state the next day to help at home while he…

Read More

By: Leslie Flowers
August 22, 2017
Share
Hot Products
Product Spotlight: 3M Clean-Trace ATP Cleaning Monitoring System

The 3M™ Clean-Trace™ ATP Cleaning Monitoring System provides real-time cleaning efficacy data to clearly indicate whether an endoscope or other surgical instrument has been adequately

Live chat by BoldChat