Behavior

Latest Issue of OR Manager
October 2019
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Inspections reveal need to overhaul bronchoscope reprocessing methods

Extensive research by Cori L. Ofstead, MSPH, and her colleagues at Ofstead & Associates (St Paul, Minnesota) has raised concerns about insufficient reprocessing of gastrointestinal endoscopes and ureteroscopes—even when recommended practices are followed—and their new study makes a compelling case for more stringent reprocessing of bronchoscopes as well. In their…

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By: Judith M. Mathias, MA, RN
August 23, 2019
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Editorial

Millennials will soon comprise 50% of the nursing workforce. They are sometimes criticized for lacking commitment because they change jobs more often than their older counterparts. Yet research finds patients are safer when nurses are satisfied with their work environments, so it would seem that newer nurses and nurse managers…

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By: Elizabeth Wood
August 23, 2019
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Team training empowers OR staff to improve patient safety

Poor communication has been the root cause of many sentinel events over the years, and there has been growing recognition of how the work environment and culture influence patient outcomes. In a 2018 Sentinel Event Alert, the Joint Commission stressed the need to develop a “reporting culture”—to make it safe…

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By: Elizabeth Wood
August 23, 2019
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Proactive policies help protect staff from bloodborne pathogen exposure

Healthcare workers are at risk for bloodborne pathogen exposures in areas ranging from the clinic to the OR—both inpatient and outpatient settings. Such exposures not only cause anxiety, they cost an estimated $3,000 to $5,000 per exposure for things such as baseline and follow-up laboratory testing, treatment of exposed personnel,…

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By: Amy L. Bethel, MPA, RN, NE-BC
August 23, 2019
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Is disruptive behavior inherent to the surgeon or environment?

Editor's Note Unclear policies and urgent competing responsibilities in the OR create stress, suggesting that the environment is the primary contributor to disruptive behavior by the surgeon, this study finds. Of 314 reports of disruptive behavior from surgical, medical, and other specialties, which included both the reporter account and involved…

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By: Judy Mathias
August 21, 2019
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Millennial nurse managers’ perspectives on their experiences in leadership roles

Editor's Note With millennials soon to make up 50% of the workforce, it is essential to recognize how the millennial nurses’ values and expectations shape their viewpoints to consider or reject leadership roles, this study finds. For the study, a national sample of 25 millennial nurse managers were interviewed on…

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By: Judy Mathias
August 12, 2019
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More than three-fourths of millennials want more well-being support from employers

Editor's Note This Welltok survey of more than 1,000 workers found that 78% of millennials wanted their employers to do more to support their health and well-being. When millennials were questioned on incentives for participating in well-being programs: 64% favored additional vacation time 56% said wellness benefits 53% wanted flexible…

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By: Judy Mathias
August 12, 2019
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Deficiencies in human performance linked to surgical adverse events

Editor's Note In this study, human performance deficiencies were identified in more than half of surgical adverse events, and they were most commonly associated with cognitive errors. Of 5,365 surgical procedures analyzed, adverse events occurred in 188 patients. A total of 106 adverse events (56.4%) were because of human error,…

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By: Judy Mathias
August 6, 2019
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Study debunks ‘July Effect’ in cardiac surgery

Editor's Note The “July Effect”−the idea that more errors occur in July because of the influx of new interns and residents starting their in-hospital training−does not apply to cardiac surgery, this study finds. For more than 470,000 cardiac procedures analyzed (coronary bypass, aortic valve, mitral valve, thoracic aortic aneurysm), in-hospital…

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By: Judy Mathias
July 25, 2019
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Zero tolerance policies rob 'energy suckers' of power

Many OR managers have likely experienced bullying, incivility, or lateral violence at some point in their careers. For newer and more seasoned managers alike, advice for handling difficult people is always welcome, and attendees at the 2019 OR Manager Conference in New Orleans will gain some valuable insights from Barbara…

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By: Elizabeth Wood
July 24, 2019
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