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June 2011 See the full issue

Video: What's here? What's coming?

Video integration expert Keith Mignault looks at technology that's here now and what's on the horizon. High definition: Displays High-definition (HD) is available in most surgical scope systems and routing systems. HD has several levels, and they are not the same. For example, HD room cameras and surgical light cameras…

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By: OR Manager
June 1, 2011
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Sharing lessons from video projects

Leaders and project teams from 2 teaching hospitals with OR video integration shared lessons learned during their projects. Massachusetts General Hospital (MGH) in Boston recently opened an outpatient surgical suite and will open a new 28-OR suite on its main campus in 2011. The University of Alabama, Birmingham (UAB), opened…

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By: OR Manager
June 1, 2011
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Expert's advice video integration

In the first of this package of articles, an equipment planner offers advice on planning for OR video integration. In addition to these expert tips, the articles include: Page 17: An introduction to the new ORs at Massachusetts General Hospital Page 19: Video: What's here? What's coming? Page 21: Sharing…

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By: OR Manager
June 1, 2011
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Video integration for 21st century

Massachusetts General Hospital (MGH) recently opened a new outpatient surgical suite in the Boston suburb of Danvers and will open a new 28-OR suite on its main Boston campus in 2011. Both suites employ video integration. Here's a look at the projects. 'Building for the Third Century' A new 530,000…

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By: OR Manager
June 1, 2011
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Value-based purchasing rule is final

July 1, 2011, marks the start of hospitals' first performance period under Medicare's new value-based purchasing program. The initial performance period runs through March 31, 2012. The final rule was released April 29, 2011, for the program, which covers hospitals under the inpatient prospective payment system, with some exceptions. Value-based…

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By: OR Manager
June 1, 2011
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How are you doing on high-level disinfection?

Recognizing how seriously reprocessing flaws can affect patients, the Joint Commission elevated its high-level disinfection standards in 2009, placing them at the same level as the sterilization standards. Under the changes, high-level disinfection is scored as Category A, the same as sterilization, and not as Category C as it was…

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By: OR Manager
June 1, 2011
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When staff speak up on safety, do managers listen —and act?

Checklists, time-outs, and other patient safety tools are supposed to make care safer. But what happens when a safety tool alerts a team to a problem that otherwise would have been missed and could harm a patient? Will team members speak up? The vast majority—85%—of nurses in a new study…

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By: Pat Patterson
June 1, 2011
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Going green in the OR brings financial, environmental gains

The OR generates more than 40% of a hospital's revenue and between 20% and 30% of its total waste volume, according to Practice Greenhealth, a nonprofit organization dedicated to environmental sustainability in health care. Given those numbers, it's no wonder that being environmentally friendly or "green" doesn't just benefit society—it…

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By: Cynthia Saver, MS, RN
June 1, 2011
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A plan for ASC value-based purchasing

The government laid out a roadmap for moving toward value-based purchasing (VBP) for ambulatory surgery centers (ASCs) in an April 2011 report to Congress. The Health and Human Services (HHS) Secretary was required to develop a plan under the Affordable Care Act passed in 2010. The government sees VBP as…

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By: OR Manager
June 1, 2011
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Managing SSI surveillance in an ASC

Tracking surgical site infections (SSI) is not easy for ambulatory surgical centers (ASC). Most patients are gone soon after waking up, but infections may not occur for days, weeks, or, in the case of implants, up to a year or more. Yet tighter infection reporting rules (along with other quality…

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By: OR Manager
June 1, 2011
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