Home Issues OR Manager [January, 2013]

December at a Glance

Quality improvement efforts cut readmissions Hospitals participating in the Hospital to Home Quality Improvement Initiative had statistically significant changes in strategies to reduce readmissions, a study finds. In a survey of 437 participants, more hospitals reported: • partnering with other local hospitals to reduce readmissions • discharging patients with a…

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By: OR Manager
January 30, 2013
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January Editorial

When you read the disturbing reports linking nurses’ stress, burnout, and workload to worse patient outcomes, you wonder why staff and patient safety aren't addressed together. In just one example, a study found a high rate of nurse burnout was related with higher rates of catheter-associated urinary tract infection and…

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By: OR Manager
January 2, 2013
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Joint project targets prevention for colorectal surgical infections

Seven hospitals working with the Joint Commission and the American College of Surgeons (ACS) on a 2-year project to reduce colorectal surgical site infections (SSIs) have saved more than $3.7 million by avoiding an estimated 135 SSIs, the commission announced in November 2012. The commission is pilot testing the approach…

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By: OR Manager
January 1, 2013
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New workshop planned for OR business managers

OR business managers and OR directors involved in the financial management of the surgical suite will have an opportunity to sharpen their skills at the second annual OR Business Manager Workshop, April 7 to 9, 2013, at the Marriott City Center, Denver. This intensive, interactive workshop is an opportunity for…

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By: OR Manager
January 1, 2013
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Solid OR governance is the foundation for safety

Ten Elements of Safer Surgry. First in a series.   What’s the essential ingredient for an OR to run safely and effectively? Many would sum it up with one word—leadership, followed closely by collaboration. An OR led by a strong team from surgery, nursing, and anesthesia backed by the hospital’s…

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By: OR Manager
January 1, 2013
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Hospitals share data to prevent colorectal SSIs

Why does our hospital have a higher rate of venous thromboembolism (VTE) than others in our state? How are others preventing surgical site infections (SSIs) after colorectal surgery? What’s behind our urinary tract infection (UTI) rate? Hospitals in Tennessee are openly discussing issues like these through the Tennessee Surgical Quality…

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By: OR Manager
January 1, 2013
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Standardizing to control costs of spinal implants

When Kimberley Murray, MS, RN, CNOR, administrator for the orthopedic and spine service line at St Joseph’s Hospital (SJH) in Syracuse, New York, set up a successful system for negotiating with orthopedic vendors on total hip and knee replacement surgery, she knew that spine implants would be the next mountain…

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By: OR Manager
January 1, 2013
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Succession: Identifying and mentoring OR leaders Second article in a 2-part series. The first article appeared in the December OR Manager.

Not all staff nurses can or want to be managers,” says Judith Mercado, RN, CNOR, nursing service director for perioperative and maternal child health services for Kaiser Permanente Los Angeles Medical Center. “Informal leaders stand out; they are the superstars of the group.” Identifying those leaders and mentoring them into…

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By: OR Manager
January 1, 2013
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Scope storage: Don’t get hung up on a number

How long can a flexible endoscope be stored before it needs to be reprocessed for use in a patient? Guidelines differ, raising questions about the appropriate storage or “hang time.” Evidence is limited. What’s the best course? How do accreditation surveyors assess this? Though infections from GI endoscopes are rare,…

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By: OR Manager
January 1, 2013
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A checkup for your OR’s value analysis process

How healthy is your value analysis process? A strong program for evaluating products and new technology is essential to the cost-effective management of resources. Characteristics of a good value analysis program are offered by Barbara Strain, MA, past president of the Association of Healthcare Value Analysis Professionals. She is director…

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By: OR Manager
January 1, 2013
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Quality reporting for ASCs is off to a good start

Starting October 1, 2012, the Centers for Medicare and Medicaid Services (CMS) began requiring quality reports on Medicare claim forms from ambulatory surgery centers (ASCs). From all indications, complications were few, and ASCs already are using the new statistics to gain insight into operational trends. Ultimately, the self-reports of patient…

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By: OR Manager
January 1, 2013
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Helping to avoid postdischarge nausea and vomiting

Nausea or vomiting after surgery can cause more distress than the pain, and even with modern anesthetics, it is not as rare as once thought. If the procedure is outpatient, symptoms may arise after the patient is at home, away from medical intervention. Thus, ambulatory surgery centers (ASCs) need to…

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By: OR Manager
January 1, 2013
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