OR Performance/Efficiency

Latest Issue of OR Manager
January 2021
Home Safety/Quality > OR Performance/Efficiency

Hospitals understaffed for COVID-19 surge

Editor's Note Demand for temporary nursing staff is on the rise as COVID-19 cases surge across the country, the November 13 Healthcare Dive reports. Surge capacity plans include the following: Utah-based Intermountain Healthcare is hiring 200 traveling nurses. The 24-hospital system also brought on 31 nurses from New York-Presbyterian, a…

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By: Judy Mathias
November 17, 2020
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Shifts in case mix bode well for future of outpatient surgery

Before COVID-19 emerged as the biggest disruptor of 2020, many ambulatory surgery centers (ASCs) had been growing volume and receiving Medicare reimbursements for an increasing number of procedures. Stopping elective procedures in the spring was a significant setback, especially for smaller, independent facilities, notes a Global Healthcare Advisors (GHA) brief,…

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By: Elizabeth Wood
November 17, 2020
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Effect of elective surgery cancellation on ICU capacity in New York State

Editor's Note Suspension of elective surgical procedures in response to the COVID-19 pandemic in New York State had only a minor effect on ICU capacity, this study finds. State authorities suspended all elective surgical procedures in mid-March 2020 to increase hospital and ICU bed capacity. However, the effect of canceling…

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By: Judy Mathias
November 2, 2020
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Air, environmental sampling for COVID-19 around hospitalized patients

Editor's Note This study led by researchers from the department of microbiology, Queen Mary Hospital, Hong Kong, found that COVID-19 RNA [ribonucleic acid] was not detectable by air samplers, suggesting that the airborne route is not the predominant mode of transmission. The researchers sampled air close to six asymptomatic and…

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By: Judy Mathias
October 29, 2020
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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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Think 'outside the blocks' to shore up balance sheets

Editor’s Note: This article from Whitman Partners addresses some ways OR nurse leaders can help their health systems recover from the financial fallout and disruption in normal processes caused by the COVID-19 pandemic. Whitman Partners is a Portland, Oregon-based specialty search firm dedicated to placing directors of surgical services at…

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By: Carisa Brewster
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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What does it take to become an ERAS hospital?

Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…

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By: Paula Spencer, MSHA, PMP, CPHIMS
August 21, 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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