Culture

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December 2020
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Pledge makes positive culture a priority in the OR--Part 2

One of the most misunderstood and misused management buzzwords is “empowerment.” It is a noble thought that a manager can empower an employee, but only you can empower yourself, and once you have done that, no one can take that power away from you. Trying to empower someone who looks…

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By: OR Manager
March 16, 2018
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Bullying: From conflict to confrontation to civility in the OR--Part 3

When Carol Schneider, MSN, RN, CCRN, CPAN, became manager of a postanesthesia care unit (PACU) at Boston Medical Center in Massachusetts, she found a plethora of problems, including poor communication skills, low employee engagement scores, and bullying from surgeons and staff. “It was a very bad climate that was putting…

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By: Cynthia Saver, MS, RN
February 22, 2018
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Editorial

Creating a more harmonious work environment is a struggle for some OR leaders. Tips on how to achieve this were offered during the 2017 OR Manager Conference and the 2018 OR Business Management Conference (ORBMC), and we share some of these in the March issue. A dysfunctional atmosphere in the…

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By: Elizabeth Wood
February 22, 2018
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Pledge makes positive culture a priority in the OR--Part 1

An organization’s culture is shaped by the collective attitudes and behaviors of the people who work there, and if no one is willing to make personal changes, no program of the month is likely to have a lasting impact. To change their attitudes and behaviors, people must be made aware…

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By: OR Manager
February 22, 2018
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Association between safety culture and surgical outcomes

Editor's Note In this study, implementing a global change in safety culture resulted in a significant change in surgical patient outcomes as measured by the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). After implementation of initiatives targeting communication and patient safety, surgical outcomes and culture scores…

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By: Judy Mathias
February 20, 2018
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Bullying: From conflict to confrontation to civility in the OR--Part 2

Kermit the frog famously said, “it’s not easy being green.” He longed to be some other color, and OR leaders faced with managing a bully have probably wished they, too, could be someone—or somewhere—else. Using some recommended approaches can help. In Part 2 of this three-part series on bullying, OR…

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By: Cynthia Saver, MS, RN
January 19, 2018
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Bullying: From conflict to confrontation to civility in the OR--Part 1

Nurse bullying is a hot issue, even in the lay press—consider the 2015 Marie Claire article, “Mean Girls of the ER: The Alarming Nurse Culture of Bullying and Hazing.” Numbers vary, but the American Nurses Association reports that between 18% and 31% of nurses have experienced bullying at work. The…

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By: Cynthia Saver
December 14, 2017
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Peer initiative cultivates a better OR culture

The following “success story” describes the PEER initiative at Geisinger Medical Center, which has involved staff in making decisions to improve processes and communication. OR Manager periodically publishes success stories like this from nurse leaders or other healthcare providers who want to share their experience with our readers. Recent examples…

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By: OR Manager
December 14, 2017
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Just culture creates a safe, positive environment

Just culture has become a bit of a buzzword, so it’s worth revisiting what the term truly means and how it can be implemented and sustained. Although it’s a powerful tool for improving patient safety, just culture is effective only when leaders set expectations for processes and behavior, and address…

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By: Cynthia Saver, MS, RN
November 15, 2017
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Perception of OR safety of surgical practice linked to postop mortality

Editor's Note The perception of safety of surgical practice among OR personnel was associated with hospital level 30-day postoperative patient mortality rates in this study. As part of the Safe Surgery 2015: South Carolina initiative, a baseline survey measuring perception of safety of surgical practice among OR personnel was completed.…

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By: Judy Mathias
August 25, 2017
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