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…
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…
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…
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,…
'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…
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…
Lateral violence: Tools managers can use to help shift the culture
An orientee comes to you in tears saying a couple of tenured nurses have snapped at her or huffed impatiently when she asked a question. Several other staff have met with you individually about conflict and hurtful comments they say are happening on one of the specialty teams. You already…
What makes an OR "highly reliable"?
What makes an organization "highly reliable"—able to avoid the rare but serious breakdowns that can have devastating consequences for patients? A highly reliable organization is one that is "exceptionally consistent in accomplishing their goals and avoiding potentially catastrophic errors," notes the Agency for Healthcare Research and Quality (AHRQ). Some familiar…
Turning around the culture of an OR
In 2001, the ORs at Banner Baywood Medical Center were struggling—physicians were dissatisfied, case volume was down, and 13 staff positions were vacant. "There was a general lack of urgency. There just was no culture of efficiency," says Christine Halowell, RN, MS-HSA, CNOR, director of perioperative services for the Mesa,…
Support for staff when things go wrong
The patient had come to the OR for joint replacement surgery. Though she had a complicated medical history, there was no reason to believe she would have serious problems. But during the surgery, things went wrong, and despite everyone's efforts, the patient died. It hit the team hard, including the…
Free Daily News
- In-house 3D printing reduces hospital surgery times, costs
- North Korean hackers extort hospitals to fund attacks on US government
- ‘Best Medical School’ methodology updated for release of latest annual rankings
- Rural hospitals shutter labor, delivery units
- Less-invasive anesthesia technique improves pediatric surgery safety, patient experience
- Physician survey illuminates negative impact of prior authorization
- Volunteer surgeons publish eye-witness account of civilian carnage in Gaza
- HCA reports strong Q2 performance, sees decline in labor costs
- One expert concerned over drug shortages record high
- Trends in ASC industry as highlighted by one expert