Tag: Culture

Targeted communication training raises hospital safety culture scores

Implementation of crew resource management training at a large academic medical center led to statistically significant improvements in 10 out of 12 dimensions of safety culture, according to surveys conducted before and after training took place. Crew resource management (CRM) is a systematic approach adapted from the airline industry to…

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By: OR Manager
August 8, 2016
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Culture change: The best defense against communication failures

Although most OR clinicians would agree poor team communication puts patients at risk, misunderstandings are not uncommon in the perioperative setting. Understanding how communication failures occur and how to correct course takes time and effort, but using the right tools and educating staff can ultimately make patients safer. “The biggest…

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By: OR Manager
April 20, 2016
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Safety culture linked to SSI rates

Editor's Note A positive safety and teamwork culture and engaged hospital management were associated with lower surgical site infection (SSI) rates after colon surgery in this study. Researchers, led by Martin Makary, MD, from Johns Hopkins University, Baltimore, measured 12 dimensions of safety culture and colon SSI rates in surgical…

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By: Judy Mathias
January 27, 2016
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Active listening lowers stress, builds confidence

The use of storytelling and listening to staff stories can be a valuable tool to help OR managers understand and mitigate workplace challenges and incivility. These are the findings of a doctoral study by Patricia Littlejohn, MBA, RN, CNOR, director, neurosciences and program development, Regional Medical Center, San Jose, California.…

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By: Judith M. Mathias, MA, RN
December 16, 2015
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Study: Association between workplace safety culture and SSIs

Editor's Note Surgical unit safety culture was significantly associated with lower colon surgical site infection (SSI) rates in this study led by Martin A. Makary, MD, MPH, professor of surgery, Johns Hopkins University, Baltimore. Dimensions of safety culture that were linked with lower SSI rates, included: teamwork across units organizational…

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By: Judy Mathias
December 9, 2015
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Research finds higher productivity in positive work cultures

Editor's Note A large and growing body of research demonstrates that not only is a cut-throat work environment harmful to productivity, but a positive environment leads to dramatic benefits for employers, employees, and the bottom line, the December 1 Harvard Business Review reports. Creating a positive and healthy culture includes…

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By: Judy Mathias
December 2, 2015
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Achieving quality improvement depends on the local culture

The key to sustaining quality outcomes is promoting confidence and engagement of surgical teams, says Clifford Ko, MD, MS, MSHS, FACS, director of the National Surgical Quality Improvement Program and Division of Research and Optimal Patient Care, at the American College of Surgeons in Chicago. Dr Ko gave the keynote…

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By: Judy Mathias
October 8, 2015
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Nurses key to Kaiser Permanente quality

Editor's Note New research from the University of Pennsylvania School of Nursing shows patient and nurse outcomes in Kaiser Permanente hospitals were significantly better than other hospitals. Differences in nursing explained a significant proportion of Kaiser’s outcomes advantages. The researchers found that Kaiser hospitals have significantly better nurse work environments,…

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By: OR Manager
July 8, 2015
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'Just Culture' encourages error reporting, improves patient safety

During a procedure in the OR, a medication is retrieved from the automated supply station and introduced onto the sterile field. The sterile field is then, unknowingly and unintentionally, contaminated by an unsterile medication. This example could happen in any operating room setting. In this case, the circulating nurse spoke…

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By: OR Manager
July 1, 2013
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Efficiency soars in wake of strategic OR cultural changes

Changes in staff responsibilities and greater collaboration have contributed to dramatically improved first-case on-time starts at the University of Louisville Hospital, Louisville, Kentucky—from about 35% to 86% in a little over a year. Turnover time has been reduced, too, with slow but steady progress suggesting that revamping existing structures can…

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By: OR Manager
June 1, 2013
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