Performance Improvement

Latest Issue of OR Manager
August 2018
Home Safety/Quality > Quality Improvement > Performance Improvement

Hospitals using bundled payments report reduced SNF use and improved care integration

Editor's Note Hospitals participating in Medicare’s Comprehensive Care for Joint Replacement model or its Bundled Payments for Care Improvement initiative for lower extremity joint replacement episodes report reducing skilled nursing facility (SNF) use and improving care coordination, in this survey. Interviews of executives or administrators in each of 22 hospitals…

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By: Judy Mathias
August 7, 2018
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Study: Lean methods improve first case on-time starts

Editor's Note In this study, implementation of Lean interventions to redesign the workflow in the preoperative holding area of a large urban medical center was linked to significantly improved rates of elective first case on-time starts. Data from 23,891 surgical procedures performed over 415 days were examined−86 days before, 35…

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By: Judy Mathias
August 6, 2018
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Cesarean section ERAS pathway reduces recovery time, improves outcomes

Editor's Note A new enhanced recovery after surgery (ERAS) pathway has been developed and implemented at the University of Alabama at Birmingham to enhance recovery after cesarean delivery. Updated guidelines for the ERAS pathway include: Intake of water and clear sports drinks before surgery to keep mother hydrated. Walking after…

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By: Judy Mathias
August 3, 2018
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Study assesses cleaning of different surface types in the OR

Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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By: Judy Mathias
August 2, 2018
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Joint Commission announces new performance measure for newborns

Editor's Note The Joint Commission on July 31 announced a new performance measure, “PC-06 Unexpected Complications in Term Newborns,” effective January 1, 2019. The new measure will be added to the five measures already required for accredited hospitals with at least 300 live births per year. PC-06 requires hospitals to…

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By: Judy Mathias
August 1, 2018
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Two QI programs lead to fewer postop complications

Editor's Note After implementing two presurgery checklists from the American College of Surgeons Strong for Surgery (S4S) program, most diabetic patients met blood sugar control recommendations, and many patients quit smoking before surgery. Use of the checklists along with an Enhanced Recovery After Surgery (ERAS) approach resulted in decreased length…

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By: Judy Mathias
July 26, 2018
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Hip fracture patients recover faster with ERAS program

Editor's Note In high-risk hip fracture patients, an Enhanced Recovery After Surgery (ERAS) program lowers mortality rates, reduces hospital stays, and results in fewer complications, finds this study presented July 23 at the American College of Surgeons 2018 Quality and Safety Conference in Orlando, Florida. Results showed that ERAS: cut…

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By: Judy Mathias
July 26, 2018
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Accredited bariatric surgery center reduces postop complications

Editor's Note During a 5-year quality improvement project, an academic medical center’s bariatric surgery program lowered its rates of postoperative complications and readmissions, surgical site infections (SSIs) and urinary tract infections (UTIs), and bleeding despite doubling its surgical volume, finds this study presented July 23 at the American College of…

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By: Judy Mathias
July 25, 2018
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Full-scale mockup clears path to efficient new ORs

Anyone who has been involved in an OR design and construction project knows it is a labor-intensive, time-consuming effort—and usually far from seamless. There’s almost always something no one thinks of until it is too late, and the staff must learn to live with the flaws. But a multidisciplinary team…

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By: Judith M. Mathias, MA, RN
July 23, 2018
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Change PAT protocols to improve patient throughput

Preadmission testing (PAT) has been shown to reduce day-of-surgery delays and unnecessary testing that drive up the cost of healthcare. But it takes time and patience to put an effective PAT process in place. Sharon Ulep, MBB, CMCA, CPHQ, principal for healthcare strategy and consulting, Plante Moran, Southfield, Michigan, who…

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By: Cynthia Saver, MS, RN
July 23, 2018
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