Editor's Note The Agency for Healthcare Research and Quality (AHRQ) announced on June 4 that ambulatory surgery centers (ASCs) that have administered AHRQ’s Ambulatory Surgery Center Survey on Patient Safety Culture can submit their data to the database until July 22. ASCs that submit data will receive free individual feedback…
Editor's Note The nurse work environment is associated with the quality of nursing care, nurse job outcomes, patient outcomes, and patient satisfaction, this study finds. This meta-analysis of 17 articles that reported data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients, in 22 countries found consistent, significant…
High labor costs, surgeon dissatisfaction, high staff turnover, and low staff competency are problems that dog many OR leaders at some point in their careers. When managers at the Stanford University Medical Center Main OR in Stanford, California, found themselves facing all of these problems at once, they knew something…
Editor's Note Generational and cultural differences may affect an RN’s job satisfaction and intent to stay, and nurse leaders must reassess staff satisfaction beyond mandatory annual staff engagement surveys, this study finds. An online survey of 309 RNs at a tertiary care hospital in south Texas found that: Millennials anticipate…
Editor's Note A hospital’s safety culture may influence certain surgical patient outcomes, finds this study. A Safety Attitudes Questionnaire (SAQ), sent to administrators, quality improvement teams, nurses, anesthesiologists, and surgeons in 49 hospitals participating in the Illinois Surgical Quality Improvement Collaborative, found that OR safety culture had the highest scores…
Several never events at The Medical Center of Aurora (TMCA) in Aurora, Colorado, over a 1-year period prompted leaders there to launch patient safety first (PSF) initiatives. Part 1 of this series discussed how these initiatives were identified and implemented, and the importance of evidence-based communication tools (OR Manager, March…
Communication breakdowns in the perioperative environment are a factor in 70% of events that adversely affect patients. Sometimes those breakdowns occur because OR staff are reluctant to voice their concerns in an environment that is hierarchical and intimidating. However, when an organization adopts patient safety first (PSF) initiatives, adverse outcomes…
Editor's Note A new blog post featured in the Joint Commission’s "High Reliability Healthcare" examines four essential steps for developing a reporting culture and why they are important. The steps are: Establish trust: Leaders should help create personal responsibility by establishing clear performance expectations for employees in an environment where…
Editor's Note The Joint Commission on December 10 issued a new Sentinel Event Alert on developing a reporting culture to improve healthcare safety systems. The alert explores guidance to eliminate fear of negative consequences for those reporting mistakes and unsafe conditions in their organizations. The alert also encourages learning from…
Music City welcomed 1,400 perioperative nurse leaders who attended the annual OR Manager Conference in September. A wealth of educational opportunities and a cultural extravaganza—including regional cuisine and the OR Manager’s Night Out at Nashville’s Musicians Hall of Fame—made the 31st conference a particularly memorable one. Volume and value…