Competence

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March 2021
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Faulty bronchoscope reprocessing raises risks of infection transmission

Preventing infection transmission has been a chief concern of healthcare leaders and staff striving to protect their patients and themselves from SARS-CoV-2, the virus that causes COVID-19. The virus poses an insidious threat that includes the possibility of bronchoscopy-associated transmission of COVID-19. Long before the pandemic, epidemiologist and researcher Cori…

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By: Judith M. Mathias, MA, RN
October 21, 2020
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Timely delivery needed to ensure safety of loaned instruments

Imagine that during a total joint surgical procedure, debris comes out of a surgical instrument and lands directly inside a patient’s open wound. Although such a scenario is rare, when it does occur, it creates a major patient infection risk. Many standards and guidelines recommend best practices that can help…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
October 21, 2020
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Incentive payments push staff to reach productivity goals

Any process improvement project is far more likely to succeed with backing from leadership. The familiar phrase, “the buck stops here,” reflects a mindset that applies to OR managers who take ownership of what happens to their patients and their staffs every day. But what if they could say, “the…

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By: Elizabeth Wood
October 21, 2020
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Survey: COVID-19 is a worry, but compensation remains stable

The COVID-19 pandemic is top of mind for ambulatory surgery center (ASC) leaders, finds the OR Manager 2020 Salary/Career Survey. Most of the 69 ASC leaders who completed the survey responded to an open-ended question about how the pandemic had affected their facility and staff, with the most frequent comments…

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By: Cynthia Saver, MS, RN
October 21, 2020
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Joint Commission seeks feedback on proposed requirements for spine surgery certification

Editor's Note The Joint Commission on September 23 announced that it is seeking feedback on proposed requirements for its Advanced Certification in Spine Surgery. In collaboration with the American Academy of Orthopaedic Surgeons, the Joint Commission developed the proposed spine surgery related requirements to include: program structure delivery of care…

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By: Judy Mathias
September 24, 2020
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ASC staffing and surgical volume drop in response to pandemic

Nearly a third (30%) of ambulatory surgery center (ASC) leaders have experienced layoffs of direct care staff during the past year, according to the 2020 annual OR Manager Salary/Career Survey, up from a mere 4% in 2019. COVID-19 is the likely culprit: Most of the comments received in response to…

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By: Cynthia Saver, MS, RN
August 21, 2020
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Joint Commission releases sentinel event stats for first half of 2020

Editor's Note The Joint Commission on August 12 released its sentinel event statistics for the first half of 2020. From January 1 through June 30, the Joint Commission reviewed 437 sentinel events. The most frequently reported events were in the following categories: Care management, 165 Surgical or invasive procedures, 131…

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By: Judy Mathias
August 13, 2020
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US News publishes 2020-2021 top hospitals list

Editor's Note US News & World Report on July 28 released its 2019-2020 Best Hospitals Honor Roll. The top five are: Mayo Clinic, Rochester, Minnesota Cleveland Clinic Johns Hopkins Hospital, Baltimore New York-Presbyterian Hospital-Columbia and Cornell, New York City, and UCLA Medical Center, Los Angeles (tie) Massachusetts General Hospital, Boston…

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By: Judy Mathias
July 29, 2020
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Data mining yields tool to predict OR staffing needs

Staffing to a block duration can be inefficient. Uncontrolled variables such as increased case complexity and unexpected staff absences can cause chaos. Leaders from Penn Medicine—Pennsylvania Hospital in Philadelphia used data analytics to measure the efficiency of matching staffing against an optimized OR schedule, which allowed them to predict staffing…

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By: Judith M. Mathias, MA, RN
July 22, 2020
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Culture, communication, and clinical skills essential for ERAS success

Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery (ERAS) program can help achieve these aims in the surgical population. ERAS pathways have been found to reduce morbidity, hospital stay,…

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By: OR Manager
July 22, 2020
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