Behavior

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December 2020
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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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Understanding the Millennial nurse manager

Editor's Note The development and retention of Millennial nurse managers is shaped by understanding the support variables that are important to them, this study finds. Interviews of a national sample of 25 Millennial nurse managers found they have a unique perspective on role expectations and support. Seven themes emerged: coming…

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By: Judy Mathias
July 17, 2019
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Joint Commission issues Quick Safety on combating nurse burnout

Editor's Note The Joint Commission on July 15 issued “Quick Safety 50 Developing resilience to combat nurse burnout.” Research indicates that resilience does more than prevent burnout, it fosters resources to combat workplace challenges. Resilience has several components, including: The ability to adapt in the face of adversity or significant…

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By: Judy Mathias
July 17, 2019
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Coworker reports of unprofessional behavior by surgeons linked to complications in their patients

Editor's Note Patients whose surgeons had more coworker reports about unprofessional behavior in the 36 months before their surgical procedures had a significantly increased risk of complications, this study finds. In this analysis of 13,653 patients having surgical procedures performed by 202 surgeons in two academic medical centers, 1,583 (11.6%)…

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By: Judy Mathias
June 19, 2019
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Improved reporting system increases disruptive behavior reports

Editor's Note After implementing an improved reporting system for disruptive behavior that included the ability to report positive behaviors, the number and length of reports increased in this study. Researchers compared reports in the Patient Safety Net (PSN) event reporting system (2010-2015) to the RL Solutions RL6 system (2015-2018), which…

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By: Judy Mathias
June 7, 2019
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DHS releases action guide for healthcare facilities on active shooter incidents

Editor's Note The Department of Homeland Security (DHS) has issued an action guide for active shooter incidents specifically for hospitals and healthcare facilities. The action guide includes potential indicators of an individual who may become an active shooter. It also gives recommendations for staff on what they should do if…

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By: Judy Mathias
May 21, 2019
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Editorial

Nearly 40 “awareness” or prevention and education wellness initiatives are listed for the month of May—among them, National Nurses Week, World Hand Hygiene Day, and Mental Health Month. Mental health caught my eye because it was a featured topic at the World Healthcare Congress in Washington, DC, where a panel…

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By: Elizabeth Wood
May 17, 2019
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Artificial intelligence makes surgical 'black box' smarter

Perioperative services departments have been slow to adopt the black boxes used in the aviation industry, partly because it can take a large team of experts hours to analyze data collected by the box. However, the team behind a surgical black box is using artificial intelligence (AI) to significantly cut…

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By: Cynthia Saver, MS, RN
May 17, 2019
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