OR Performance/Efficiency

Latest Issue of OR Manager
June 2019
Home Safety/Quality > OR Performance/Efficiency

How will artificial intelligence impact surgical patient care? Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. Part 1 of this introduction to the series (OR Manager, May 2019, 1, 7-11) defined several different types of…

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By: Cynthia Saver, MS, RN
May 17, 2019
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Artificial intelligence makes surgical 'black box' smarter

Perioperative services departments have been slow to adopt the black boxes used in the aviation industry, partly because it can take a large team of experts hours to analyze data collected by the box. However, the team behind a surgical black box is using artificial intelligence (AI) to significantly cut…

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By: Cynthia Saver, MS, RN
May 17, 2019
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From NASA to the OR: How to launch on-time starts

Northwestern Medicine Lake Forest Hospital, located in Lake Forest, Illinois, has taken a giant leap in curtailing late starts in the OR. In December 2016, the facility’s on-time start percentage was only 37%. Perioperative team members dug in their heels and, by August 2017, increased their on-time starts to 77%.…

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By: Catherine Spader, RN
May 17, 2019
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Transplanting hearts, lungs from HCV-infected donors into recipients without HCV infection

Editor's Note In patients without HCV infection who received a heart or lung transplant from HCV-infected donors, treatment with a 4-week antiviral regimen prevented establishment of HCV infection, this study finds. Of 44 patients enrolled in the study, 36 received lung transplants and 8 received heart transplants. All of the…

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By: Judy Mathias
April 25, 2019
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FDA considering additional regulatory actions to reduce duodenoscope risks

Editor's Note The Food & Drug Administration on April 16 announced it is considering additional regulatory actions, including consulting with federal health experts for guidance, to reduce the risks of contamination and infections associated with duodenoscopes. The FDA is also working with manufacturers of disposable duodenoscopes that would make reprocessing…

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By: Judy Mathias
April 23, 2019
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How will artificial intelligence impact surgical patient care? Part 1

Artificial intelligence (AI) may be coming to your OR sooner than you think. AI is already being used to identify areas needing quality improvement by analyzing surgical workflow, communication patterns, and errors that went unnoticed during a procedure. OR leaders need to understand AI and participate in its development and…

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By: Cynthia Saver, MS, RN
April 22, 2019
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Imagining the unimaginable: Preparing for mass casualty

The Centers for Medicare & Medicaid Services (CMS) and the Joint Commission require healthcare facilities to have policies and protocols in place for emergency situations and to hold regular practice drills. With natural disasters like hurricanes, floods, or fires, often there is at least some warning—some amount of time to…

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By: Elizabeth Wood
April 22, 2019
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New technology and workflow lead to surgical volume growth

Sarasota Memorial Health Care System (SMH) in Sarasota, Florida, is a Level 2 trauma center with 839 beds and more than 900 physicians. The 430 members of the surgical staff perform more than 24,300 inpatient and outpatient surgical procedures in the 34 operating suites each year. With this level of…

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By: OR Manager
April 22, 2019
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Operative volume is essential quality indicator for performing emergent general surgery in elderly

Editor's Note In this study, survival rates for geriatric patients were significantly improved when emergency general surgery procedures were performed at hospitals with higher operative volumes. Of 41,860 surgical procedures evaluated at 200 hospitals, mortality decreased as hospital emergency operative volume increased. For every standardized increase in volume, reduction in…

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By: Judy Mathias
April 18, 2019
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AI detects prostate cancer as well as experienced radiologists

Editor's Note A new artificial intelligence (AI) system developed by researchers at the UCLA David Geffen School of Medicine improved the ability to diagnose prostate cancer in this study. The system, called “FocalNet,” helps identify and predict the aggressiveness of the disease by evaluating MRI scans. Results showed that FocalNet…

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By: Judy Mathias
April 17, 2019
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