Safety The growth of value-based healthcare models is changing the way physicians and hospitals provide care. In value-based models, providers are paid based on patient outcomes. The “value” is derived from measuring health outcomes against the cost of delivering the outcomes. This balancing act has now become more achievable with new…
In 2018, Sam Weprin, MD, started his first year of residency in Urology. During one of his first prostatectomy cases, he witnessed an impeccable surgery performed by the attending surgeon. Unfortunately, a surgical needle went missing inside the patient. The surgeon and her team spent an hour searching for it,…
Last month, OR leaders convened for the 2021 OR Manager Conference in Chicago. The last 18 months have radically transformed healthcare delivery in the US, but many of the underlying challenges faced by hospitals and health systems before the pandemic remain unchanged. Despite the impact of COVID-19, attendees still grappled…
The foundation of sterilization is cleaning. How can we be sure that the mechanical cleaning equipment being used is producing clean medical devices? There are methods available to verify that the mechanical equipment used to clean medical devices is functioning appropriately. ANSI/AAMI ST79:2017 Comprehensive guide to steam sterilization and sterility…
With all of the advantages that come from electronic health records and connected devices, some distinct security risks also exist. Healthcare is seeing these risks grow in the form of ransomware, phishing attacks, and cybersecurity breaches. Healthcare has become one of the industries most vulnerable to cyberattacks, and one with…
The new year is just around the corner, and it will bring new challenges for OR leaders as well as fresh opportunities to improve clinical, financial, and operational performance. The typical surgery department is a “target-rich environment”: low utilization, long turnover times, inefficient charge capture, poor documentation, high supply costs,…
The better a patient’s overall health prior to undergoing surgery, the more likely a good surgical outcome. Research has demonstrated the benefits of prehabilitation and Enhanced Recovery After Surgery protocols, and many healthcare facilities have embedded such practices into their surgical patient care pathways. At UPMC Central Pennsylvania Region in…
Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…
Increased tensions during the COVID-19 pandemic have contributed to a spate of violent incidents, many of them directed at healthcare workers (HCWs). About 20% of respondents to a National Nurses United survey in late 2020 of more than 15,000 US registered nurses reported an increase in on-the-job violence caused by…
The Joint Commission on June 18 issued prepublication standards for its New and Revised Workplace Violence Prevention Requirements, which will apply to all Joint Commission-accredited hospitals starting January 1, 2022. Revisions range from some wording changes in existing requirements to the addition of new Elements of Performance (EP) within certain…
