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February 2020
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Development of surgery-specific second victim peer support program

Editor's Note In this study, researchers at the Massachusetts General Hospital, designed, implemented, and assessed the effect of the first surgery-specific peer support program in the US. The program uses five steps: creation of a conceptual framework choice of peer supporters training of peer supporters multifaceted identification of major adverse…

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By: Judy Mathias
December 17, 2019
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Is your staff ready to manage malignant hyperthermia?

Malignant hyperthermia (MH) is a rare but life-threatening surgical complication that seems to turn the effects of general anesthesia upside down. Instead of relaxing, muscles become rigid, releasing large amounts of acid and potassium into the blood. Instead of a normal slowing of breathing, respirations quicken, and end-tidal CO2 rises.…

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By: OR Manager
December 17, 2019
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Editorial

Projections for healthcare industry trends in 2020 started to proliferate near the end of 2019 as attention turned to the new year. Reflecting on the Institute of Medicine’s (IOM) landmark 1999 report, “To Err Is Human: Building a Safer Health System,” some healthcare leaders said the report has raised awareness…

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By: OR Manager
December 17, 2019
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Reinvent and reap the rewards of improved handoffs--Part 1

A care transition poses a danger point for patients—failing to “hand off” needed information from one clinician to another can lead to significant morbidity and mortality. The Joint Commission was so concerned about handoffs that in 2017 it issued a sentinel event alert on the topic. “Handoffs are a safety…

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By: OR Manager
December 17, 2019
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Well-crafted handoff tools save valuable time in OR schedule

In 2017, the Joint Commission issued a Sentinel Alert Event on the problem of inadequate handoff communication, focusing attention on this vital aspect of care. (See related story, p 22.) Clinicians and leaders agree that handoffs are important, but implementing them effectively can be challenging, particularly in the fast-paced perioperative…

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By: OR Manager
December 17, 2019
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Nurses sleep less before work days than days off, affecting patient care

Editor's Note In this study from New York University Rory Meyers College of Nursing, nurses were found to sleep nearly an hour and a half less before work days than before days off, affecting patient care and safety. Using data from two surveys of 1,568 nurses collected in 2015 and…

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By: Judy Mathias
December 16, 2019
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Impact of shared governance on workplace empowerment over time

Editor's Note In this analysis of measurements (ie, staff’s caring, workplace engagement, and work empowerment) assessed before and after implementation of an interprofessional shared governance model, only work empowerment scores of staff working in relationship-based care professional practice models were sustainable and increased progressively and significantly over time. Work engagement…

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By: Judy Mathias
December 12, 2019
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Partners HealthCare renamed

Editor's Note Partners HealthCare, the largest healthcare system in Massachusetts has been renamed Mass General Brigham, the November 27 Boston Business Journal reports. The new name also comes with a new 5-year plan for the 12-hospital system. The Massachusetts General Hospital and Brigham and Women’s Hospital are the top two largest…

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By: Judy Mathias
December 9, 2019
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Hospital employment up in November

Editor's Note Employment in US hospitals was up 9,900 jobs in November to a seasonally adjusted 5,283,200, the Bureau of Labor Statistics reported on December 6. That’s up 94,300 more employees than a year ago. Overall, healthcare employment has increased 414,200 in the past year. The overall unemployment rate fell…

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By: Judy Mathias
December 9, 2019
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Hospital-based care coordination strategies linked to CMS star ratings

Editor's Note Care coordination strategies were found to be associated with high overall hospital quality star ratings from the Centers for Medicare & Medicaid Services (CMS) in this study. A total of 710 general acute care noncritical access hospitals that received star ratings and responded to the 2015 American Hospital…

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By: Judy Mathias
November 21, 2019
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