Each year, 2.5 million people in the US develop pressure ulcers, according to the Agency for Healthcare Research and Quality (AHRQ). Surgical patients are at especially high risk because of immobility during long procedures and anesthesia that blocks sensitivity to pain and pressure. The Centers for Medicare & Medicaid estimates…

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Environmental hygiene is an ongoing concern in all hospitals because of its role in patient safety and infection control. Standardized processes can greatly improve the efficacy of OR cleaning, but continuous monitoring is needed to ensure compliance with those steps. Inconsistent cleaning processes, staff turnover, new equipment, and unclear expectations…

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As the holiday season approaches, I’m aware that it will soon be time for my annual review—not only my job performance but also my personal goals. I’ve long had a tradition of reflecting on each year’s milestones and continuing the practices that serve me best. I consider this process “evolution”…

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The upcoming OR Business Management Conference provides a timely opportunity for OR business managers and surgical services directors to learn what they can do to optimize their hospitals’ resources—especially in the current climate of ever-tighter budgets and reimbursement concerns. The conference, which will be held February 11-13, 2014, at the…

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Cancelled surgical procedures at Carilion Roanoke Memorial Hospital (CRMH) in Roanoke, Virginia, are considered a success rather than a failure. “That’s because we cancel procedures for cause,” says Sandy Fogel, MD, FACS. Before 2010, many patients at CRMH were having surgery with undiagnosed, untreated medical problems, and postoperative 30-day mortality…

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OR Business Performance is a series intended to help OR managers and directors improve the success of their business.   Better-performing surgery departments have always paid careful attention to the patient experience. Today, payment reform and market evolution are making patient satisfaction in an OR more important than ever. Patient…

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The update of the Association for the Advancement of Medical Instrumentation American National Standard Chemical sterilization and high-level disinfection in health care facilities, ANSI/AAMI ST58:2013, is available for purchase and should become part of health care facilities’ evidence-based library. Below is a brief description of the contents of the recommended…

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Trauma events occur every 5 minutes in the United States, and 30% of trauma patients die within 120 minutes of the event because of major organ injuries that lead to heavy blood loss. Better outcomes are achieved when care is initiated within 60 minutes, a time frame commonly referred to…

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Group purchasing has long been a tradition for hospitals. Now ambulatory surgery centers (ASCs) are beginning to adopt the practice, and the reason is simple: Group purchasing organizations (GPOs) are noticing their needs and recruiting them as members. “We are evolving services,” explains Randy Piper, vice president of nonacute contracting…

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Ambulatory surgery centers (ASCs) are asking the Centers for Medicare & Medicaid Services (CMS) to reconsider the next round of quality measures contained in the Calendar Year 2014 Ambulatory Surgical Center Payment Proposed Rule and to revisit the payment update formula.   Quality Collaboration: Revise measures In a memorandum to…

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