Editorial
Attendees at the annual OR Manager Conference have enjoyed the opportunity to ask experienced OR leaders questions about difficult managerial and clinical issues. The popularity of these “Ask Me Anything” sessions reflects the hunger for knowledge about how things are handled in ORs around the country, and they will be…
'Coming clean' in the SPD requires collaboration and competency—Part 1
Contaminated surgical instruments made ECRI Institute’s 2019 annual top 10 list of health technology hazards, coming in at number five: “Mishandling flexible endoscopes after disinfection can lead to patient infections.” Number two on the list in 2018 was “Endoscope reprocessing failures continue to expose patients to infection risk.” It’s not…
Prioritizing patient safety unites and empowers OR team—Part 2
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…
Protective garments get makeover in new cleaning protocol
Surgical site infections are multifactorial, and perioperative leaders often struggle with how to reduce or eliminate them. In 2013, after an unexplained increase in surgical site infections (SSIs) among patients undergoing total hip arthroplasty at our facility, we began to investigate the cause. A fairly robust ERAS (enhanced recovery after…
Prioritizing patient safety unites and empowers OR team—Part 1
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…
FDA: Class I recall of BD Vacutainer® blood collection tubes
Author's Note The Food & Drug Administration on March 23 announced the Class I recall of Becton Dickinson (BD) Vacutainer® EDTA (ethylenediaminetetraacetic acid) blood collection tubes with lavender, tan, pink, and green rubber tube stoppers. Class I recalls are the most serious. The recall was initiated because of a chemical…
Adding new business to the ASC, one procedure at a time—Part 3
Total joint procedures are gradually moving to ambulatory surgery centers (ASCs) as technology, medical expertise, and cost pressures combine to make the ASC an increasingly attractive alternative to an acute care hospital. The key to success for these and other complex procedures, experts say, is a combination of careful planning,…
Adding new business to the ASC, one procedure at a time—Part 2
Aging and active Americans are refusing to let back problems slow them down—the number of these patients is increasing, and they prefer the less invasive outpatient methods offered in ambulatory surgery centers (ASCs). So do their physicians. As a result, ASCs seeking to adopt new procedures are looking more closely…
Editorial
Do you know who your competitors for surgical volume are going to be? It may not be the hospital or surgery center down the street or even across town. Your competitor could be in the next state or even across the country, at least for some types of surgery. Big…
A safer, faster way for postoperative x-rays
With patient safety as its primary goal, the University of Michigan Health System has created a new process using bar-coded sponges and electronic radiology orders to ensure no items are unintentionally left in a patient during surgery. Electronic orders provide for a standardized process that not only is safer but…
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