Communication

Latest Issue of OR Manager
February 2020
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Find your purpose, not passion

Editor's Note Though many self-help books advise people to find their passion, this is terrible advice, says LaRae Quy in the January 15 issue of SmartBrief/Leadership. Passion is a “hedonistic approach to life,” that is popular right now, she says. People think they need to be passionate about their jobs…

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By: Judy Mathias
January 16, 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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First-year analysis of OR Black Box study

Editor's Note In this first-year analysis of a data capture system called the OR Black Box, frequent intraoperative errors, events, variation in surgeons’ technical skills, and a high amount of environmental distractions were identified. In 132 patients having elective laparoscopic general surgery: auditory distractions occurred a median of 138 times…

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By: Judy Mathias
January 2, 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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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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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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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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‘Great leaders give direction, not directions’

Editor's Note What is it that only great leaders can do? “Give direction, not directions,” writes Scott Eblin in the November 20 eblingroup.com/blog. Leaders need to set a “commander’s intent” that gives team members a clear sense of why a task is important, what it will result in, and where…

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By: Judy Mathias
November 21, 2019
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