Who should be giving sedation to low-risk patients having colonoscopies and upper GI endoscopies? This question may get a new look with a large new study in the March 21, 2012, JAMA. Researchers found use of anesthesia services for these cases has more than doubled over 7 years, jumping from…

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In a simple quiz, medical students are asked to read a short paragraph about what sounds like a robbery. Then, as individuals, they answer 18 questions about the paragraph. After that, they gather in a group to answer the questions as a team. On their own, some answer as few…

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Your OR is starting to bring in new graduates—a practice almost unheard of 15 years ago. You’re finding it’s taking them longer than expected to adjust. Or you’re running into roadblocks in fostering team communication among nurses, physicians, and other staff.   Where do you turn? One place to look…

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Perioperative staff and managers face a variety of pressures: improving processes, enhancing patient outcomes, documenting savings, meeting regulations, and more, all in a time of tighter budgets. With so much to balance, it can be difficult to consider (much less sell to upper management) the idea of greening the operating…

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There’s general agreement that keeping unused pharmaceuticals out of the nation’s water supply is a good idea. But figuring out how to comply with the tangle of regulations governing unused pharmaceuticals isn’t easy. How intensely your facility is involved in managing pharmaceutical waste likely depends on how active US Environmental…

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Depending on your facility’s type and pattern of use, one or more of your ORs likely is not being used a majority of the time. Yet for most facilities, the heating, ventilation, and air-conditioning (HVAC) system operates continuously, providing air exchanges, humidity, and temperature control as if the OR were…

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Patient satisfaction has risen, and OR delays and cancellations are down after a Preop Call Center was developed to give patients more advanced notice of their surgery times. Previously, patients were told to call between 2 and 4 pm on the day before surgery, which gave them little time to…

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A new hip or knee implant comes on the market. Surgeons would like to start using it. But the cost is higher than current implants the hospital is using. Will it offer better outcomes for patients? The answer has been hard to come by. If there is outcomes data, it…

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The downside of scientific advances is that we come to depend on them and assume they will always be available. In the case of lifesaving pharmaceutical products, that has not been true for a long time. Ambulatory surgery centers (ASC), because of their relatively low purchasing power and lack of…

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