Home Issues OR Manager [July 2017]

Avoiding blood wastage in the OR can improve bottom line

Keeping a close eye on implants that are opened and not used is one way OR leaders can track practices that add significantly to costs. But what about blood products? Blood taken to the OR and not used also can be costly. Although an individual unit of blood doesn't compare…

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By: Cynthia Saver, MS, RN
June 20, 2017
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New instrument shows promise as low-cost alternative to robot

Researchers at the University of Michigan (U-M), Ann Arbor, have invented a new surgical instrument with the goal of addressing a vast, unmet need in minimally invasive surgery. For less than a thousand dollars, this platform technology—currently being commercialized by the start-up FlexDex Surgical—offers capabilities similar to those of the…

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By: Judith M. Mathias, MA, RN
June 20, 2017
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Editorial

Efforts to repeal and replace the Affordable Care Act (ACA) are ongoing, with continued uncertainty about what may happen and when. To keep things in perspective, here’s a snapshot of recent developments. On May 4, the US House of Representatives approved the American Health Care Act (AHCA) by a vote…

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By: Elizabeth Wood
June 20, 2017
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Customer service can make or break a patient's experience

Healthcare providers and their patients have benefited from practices borrowed from other industries—for example, the checklists and time-outs used in aviation or the Lean management principles used in manufacturing. Applying lessons learned in the entertainment industry to the hospital setting may seem like a stretch, but Dennis Snow will explore…

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By: Paula DeJohn
June 20, 2017
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Employee engagement: The path to better patient care--Part 2

Nurse engagement and leadership development were among the top concerns cited in a recent survey of healthcare leaders who reflected on challenges in nursing. To engage the nurse workforce, leaders themselves must be engaged, perioperative services leaders recently told OR Manager. In part 1 of this two-part series, they discussed…

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By: Cynthia Saver, MS, RN
June 20, 2017
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Cost data persuade surgeons to be more frugal

Surgeons usually don’t have a high awareness of costs, partly because they haven’t had an easy way to know them. An unfortunate byproduct of this lack of knowledge can be higher OR costs. “Imagine what it’s like if, when you go to the grocery store, there are no price tags,…

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By: OR Manager
June 20, 2017
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Research explores relationship between SSIs and nurse education

Are there nursing characteristics such as certification status or educational attainment that impact surgical site infection rates? The answer to questions such as this may provide evidence of modifiable factors that could lessen surgical site infections (SSIs) and thus decrease the financial and emotional impact from these adverse events. The…

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By: James X Stobinski, PhD, RN, CSSM, CNOR
June 20, 2017
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Efforts to improve FCOTS may reduce overutilized OR time

Ccommon cost-saving strategies in the OR include increasing workflow efficiency, reducing turnover times, implementing standardized preoperative protocols, and improving surgical case scheduling and first case on-time starts (FCOTS). These interventions aim to decrease under- and overutilized time in the OR, but there is conflicting evidence about their economic value. Many…

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By: OR Manager
June 20, 2017
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The microhospital trend: ASC friend or foe?

Among the changes occurring in healthcare delivery is an emerging trend that suggests ambulatory surgery centers (ASCs) may find themselves with a new type of business partner—or possible competition. That would be the microhospital, which occupies a fraction of the space of a standard inpatient hospital, with some, but not…

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By: Paula DeJohn
June 20, 2017
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