Handoffs

Latest Issue of OR Manager
April 2021

Back to basics: How collaboration can improve PACU patient flow

Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…

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By: Catherine Spader, RN
February 21, 2020
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How prepared is your ASC to handle a surgical emergency?

Surgical errors and emergencies can happen at any time, at any facility. For ambulatory surgery centers (ASCs), a major challenge is finding official guidance on the topic. For the most part, it’s up to the individual facility to craft its own policies, competencies, and drills for OR emergencies. “The Association…

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By: Jennifer Lubell
February 21, 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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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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12-hour call shifts improve patient outcomes, lower costs

Editor's Note An acute-care surgery model that caps surgeon call shifts at 12 hours instead of 24 hours for covering surgical emergencies has led to shorter hospital stays, lower infection rates, and lower overall costs for patients with acute appendicitis, finds this study presented October 30 at the American College…

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By: Judy Mathias
October 31, 2019
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AI outperforms clinicians’ judgment in triaging postop patients to ICU

Editor's Note Artificial intelligence (AI) in the form of a machine-learned algorithm correctly triaged the vast majority of postoperative patients to the ICU, in this pilot study presented October 29 at the American College of Surgeons Clinical Congress 2019 in San Francisco. The algorithm included 87 clinical variables and 15…

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By: Judy Mathias
October 30, 2019
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The role of the OR in ERAS pathway implementation

The US has been on a journey for the last several years to reduce the cost of healthcare. In 2017, the percent of gross domestic product attributed to healthcare goods and services was at 17.9%. This is expected to reach as much as 19.4% by the year 2027.1 Factors contributing…

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By: OR Manager
October 21, 2019
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CMS releases final rule on discharge planning

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on September 26 released a final rule that revises discharge planning requirements for hospitals, the September 26 Becker’s Clinical Leadership & Infection Control reports. Among the requirements: Hospitals must prioritize patients’ care goals and treatment preferences during discharge planning. Hospitals…

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By: Judy Mathias
October 1, 2019
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Enhanced Recovery After Surgery: The new standard for perioperative care

Enhanced Recovery After Surgery (ERAS®) is a comprehensive, multifaceted, and multidisciplinary approach to the care of the surgical patient. ERAS bundles evidence-based elements to facilitate a faster recovery with fewer complications.1 Spanning the continuum of perioperative care, ERAS elements include: • patient engagement and education • preoperative optimization of nutrition…

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By: OR Manager
September 23, 2019
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