Performance Improvement

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

Harmful medical errors drop after implementing program to improve communication with families

Editor's Note Harmful medical errors decreased by nearly 38% after implementing a program to improve communication between healthcare providers, patients, and families, finds this study. A total of 3,106 pediatric patient admissions in seven US hospitals, 2,148 parents or caregivers, 435 nurses, 203 medical students, and 586 residents were involved…

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By: Judy Mathias
December 11, 2018
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HHS issues draft strategy to reduce burdens linked to EHRs, health IT

Editor's Note The Department of Health and Human Services (HHS) on November 28 issued a draft strategy to reduce administrative and regulatory burdens caused by electronic health records (EHRs) and health information technology (health IT). The draft “Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health…

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By: Judy Mathias
November 29, 2018
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Munro Scale assessment helps reduce HAPI rates

Each year, more than 2.5 million adults in the US develop pressure ulcers, according to the Agency for Healthcare Research and Quality (AHRQ). These lesions bring pain, risk for serious infection, and increased healthcare utilization. Data on the costs of treatment vary, but some estimates range between $37,800 and $70,000…

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By: Judith M. Mathias, MA, RN
November 14, 2018
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New safety program helps hospitals adopt ERAS

Enhanced recovery after surgery (ERAS) led the list of newer patient care models in use at hospitals that employ respondents to the 2018 OR Manager Salary/Career Survey. A total of 42% of hospital-based OR leaders said ERAS had been or would soon be implemented in their facilities, down slightly from…

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By: Elizabeth Wood
November 14, 2018
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Room utilization rises with dynamic block scheduling

Inefficiencies in surgical case scheduling can lead to large revenue losses. When leaders at Providence Sacred Heart Medical Center (SHMC) in Spokane, Washington, realized poor room utilization was the cause of more than $1 million in annual overtime costs, they knew that better planning was needed. “For every 60 minutes…

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By: Cynthia Saver, MS, RN
November 14, 2018
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HHS updates physical activity guidelines for Americans

Editor's Note The Department of Health and Human Services (HHS) published a summary of its new Physical Activity Guidelines for Americans, online November 12 in the Journal of the American Medical Association. The updated guidelines provide information on types and amounts of physical activity that provide substantial health benefits. For…

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By: Judy Mathias
November 13, 2018
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New decision support algorithm improves discharge outcomes

Editor's Note In this study from the University of Pennsylvania School of Nursing, researchers developed, validated, and tested an algorithm called, “Discharge Referral Expert System for Care Transitions (DIRECT),” which helped clinicians identify patients most in need of post-acute care (PAC) and lowered readmission rates. The researchers conducted a 4-month…

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By: Judy Mathias
November 8, 2018
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DVN GL announces first US sterile processing certification

Editor's Note Healthcare accreditation organization DNV GL Healthcare on November 7 launched the first sterile processing program certification in the US. The program recognizes excellence in an organization’s sterile processing department within the scope of infection prevention and control, surgical services, endoscopic services, and related departments. An important part of…

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By: Judy Mathias
November 8, 2018
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Nurse, patient survey shows patient safety in hospitals still a concern

Editor's Note Survey data from thousands of nurses and patients shows that patient safety remains a serious concern and that failure to improve hospital work environments may be hampering progress, finds this study by Linda Aiken, PhD, RN, and colleagues at the University of Pennsylvania School of Nursing. Of 53,644…

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By: Judy Mathias
November 6, 2018
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Hospital volume of SAVR linked to better patient outcomes for TAVR

Editor's Note Hospitals with high volumes of surgical aortic valve replacements (SAVRs) are more likely to be fast adopters of transcatheter aortic valve replacement procedures (TAVRs), and accumulating SAVR and TAVR caseloads is associated with better survival after TAVR, this study finds. Using Medicare data on 60,538 TAVR procedures performed…

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By: Judy Mathias
November 5, 2018
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