Be cognizant, not complacent when using communication tools
Communication tools such as briefings, debriefings, handoffs, and checklists are considered cornerstones of surgical patient safety, but they’re only effective when used correctly. In many ORs, steps may be skipped that later are linked to adverse events that should not have happened. Greater mindfulness and proper implementation of communication tools…
Surgical development teams save millions in clinical costs
Surgeon champions can make or break a perioperative initiative. But it’s not enough to simply identify a single champion. OR leaders must engage a wide range of physicians to improve the organizational structure of the healthcare system. At Intermountain Healthcare, a 22-hospital system based in Salt Lake City, Utah, surgical…
ERAS improves outcomes, shortens length of stay
Enhanced recovery after surgery (ERAS) programs are gaining ground with recent data showing that they improve outcomes. The programs consist of multidisciplinary, evidence-based protocols implemented in the perioperative period to provide standardized patient care. Like other changes in healthcare delivery, adopting ERAS programs takes time and effort. Despite positive results…
Committee saves over $1 million through cost conscious initiatives
Creating a “Cost Conscious Culture Committee” helped Maine Medical Center (MMC) in Portland shave more than $1.8 million in operating costs from the beginning of 2014 to the end of 2015. Not only that, but during 2015, MMC’s perioperative services leaders were also involved in a $40 million expansion project…
Ophthalmic ASCs have eyes on the prize as the specialty expands
Each year, 3 million Americans have cataracts removed, according to the American Society of Cataract and Refractive Surgery (ASCRS). Between the aging population and the increasing number of cataract procedures being performed, it’s not surprising that ophthalmology has led the way in specialties that are moving to the outpatient setting.…
Manage physician preference cards to boost efficiency and patient safety
Surgeons often complain that their physician preference cards (PPCs) are not current, and keeping on top of the situation can be a struggle. Yet having accurate information on these cards greatly enhances both efficiency and patient safety, say surgical services leaders who have overhauled their systems. In this article, experts…
Dedication, determination help tame PPC beast
Even the most experienced OR leaders often view physician preference cards (PPCs) as a beast that acts out and demands attention at the most inconvenient times. Two organizations that have managed to tame the PPC beast shared their experiences with OR Manager. Updating cards saves more than $3.2 million Tresa…
High reliability: Excellent care every time
High reliability has now permeated the healthcare literature, but some clinicians are still unsure exactly what it means. A simple definition offered by Coleen Smith, MBA, RN, CPHQ, director of High Reliability Initiatives for the Joint Commission Center for Transforming Healthcare, is “excellence in patient care for every patient, every…
Proper packaging ensures integrity of sterilization
Sterilization packaging is considered a medical device and thus it must undergo validation testing before being used in healthcare facilities. To ensure proper packaging that will maintain the integrity of sterilization, consult the packaging manufacturers’ instructions for use (IFU) and follow the sterilization standards and guidelines from the Association for…
Preparation, policy compliance key to positive survey outcome
Preparation for a visit from the Joint Commission or the Centers for Medicare & Medicaid Services is key to a positive survey outcome. “There is nothing mysterious about Joint Commission or CMS compliance,” says John Rosing, MHA, FACHE, vice president and principal, Patton Healthcare Consulting, Naperville, Illinois. Ensuring compliance involves…
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