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Nuts and bolts of new technology acquisition--Part 1

Surgeons often are eager to acquire the newest technology, particularly right after attending a conference with a vendor-packed exhibit hall. How can OR leaders weigh surgeon demands with organizational cost constraints to ensure they meet patient needs while being fiscally responsible? The first step is to acknowledge the complexity of…

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By: Cynthia Saver, MS, RN
January 13, 2020
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Recycling program evolves to sustain gains in waste reduction

Approximately 5.9 million tons of waste annually comes from the healthcare industry, and one-third of that waste comes directly from the OR. Each year, an increasing number of disposable products are used in the OR. To address this dilemma, an OR recycling performance improvement committee was formed at Massachusetts General…

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By: Judith M. Mathias, MA, RN
January 13, 2020
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Editorial

Nonprofit hospitals and health systems got a vote of confidence in December 2019 when Moody’s Investors Service revised its 2020 outlook from negative to stable. The report projected an increase in operating cash flows by 2% to 3%. Moody’s says increased reimbursements and higher patient volumes will boost revenue. But…

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By: Elizabeth Wood
January 13, 2020
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Mastering predictive modeling to improve patient care

The Best in OR Business Award is presented annually at the OR Business Management Conference to recognize an outstanding leader who has saved on costs, increased OR utilization, improved patient safety, or otherwise streamlined the surgical services department. The 2020 award will be presented to Vikram Tiwari, PhD, associate professor…

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By: Elizabeth Wood
January 13, 2020
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Reinvent and reap the rewards of improved handoffs--Part 2

An effective handoff helps ensure care transitions are safe and efficient, but achieving the ideal handoff can be challenging. Part 1 of this two-part series provided an overview of the role of handoffs in the perioperative setting (OR Manager, January 2020, 22-23, 25). This article offers best practices for successful…

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By: Cynthia Saver, MS, RN
January 13, 2020
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Develop standard work for successful ERAS implementation

At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that emphasizes “…maximize[ing] customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources,” according to the Lean Enterprise Institute.1 Several…

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By: OR Manager
January 13, 2020
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OR nurse pipeline expands through clinical immersion program

Most hospital leaders are well aware of the coming wave of nurse retirements. However, few leaders understand that this wave will likely hit the OR even earlier than other departments. According to research from NSI Nursing Solutions, surgical services nurses are on average older than other nursing professionals. Because OR…

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By: OR Manager
January 13, 2020
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Can your hospital survive the growing dominance of ASCs?

Of the approximately 57 million surgical procedures performed annually in the US, it is estimated that hospital inpatient procedures (overnight admissions) account for less than 20% of cases. Many procedures once performed in hospital outpatient surgery departments (HOPDs) have moved to ambulatory surgery centers (ASCs) over the past 15 years,…

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By: Thomas A. Blasco, MD, MS
January 13, 2020
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FCOTS increase through smarter scheduling and surgeon accountability

Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…

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By: Judith M. Mathias, MA, RN
January 13, 2020
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