What started out as a software package to train medical device representatives for the OR has evolved into a program to train OR personnel to scrub and support a “rep-less” model. The software, designed by a former perioperative nurse, helps orient staff to new procedures, documents their competency, and streamlines…

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If you skipped this year's OR Manager conference, you missed an opportunity to learn about the evolution of healthcare delivery and the changes you should be making at your facility. Improving the patient’s experience of care was an underlying theme. We’ve all heard about the shift from volume-based to value-based…

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Most retained surgical items (RSIs) involve team/system errors and more than two safety omissions or variances, which supports the need for institutional emphasis on team training, finds a study led by S. Peter Stawicki, MD, Ohio State University College of Medicine, Columbus. Though RSIs feature prominently among surgical “never events,”…

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Reducing preventable complications is a high priority, especially in light of readmission penalties. A recent data analysis by Premier, Inc, has identified 86 high-impact potential inpatient complications (PICs) associated with increased inpatient mortality, costs, and length of stay (LOS). In their study of 530 inpatient facilities, Premier, a healthcare performance…

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Block scheduling can be one of the most contentious issues that OR leaders face, but its effectiveness as an efficiency—and therefore cost management—tool makes it worth pursuing. Implementing block scheduling requires time, finesse, and dedication. James X. Stobinski, PhD, RN, CNOR, says it’s easy for OR managers to underestimate the…

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For the past 3 years, Tanner Health System has conducted “Education Day,” a mandatory perioperative skills course that supplements online courses, in-services, and other types of education. Staff attend the half-day course on a Saturday in early January to learn about complicated high-risk, low-volume, problem-prone procedures as well as new…

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Most OR leaders use performance reports to inform and guide critical decisions. The problem is that in most hospitals, the data used to create these reports are not reliable. Why? Even the smallest surgery department is too complex for the most sophisticated OR data solution. To yield reliable reports, information…

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Although limiting OR traffic can help reduce surgical site infections (SSIs), doing so can be a challenge in a busy OR. Two hospitals recently completed projects that successfully reduced traffic. At the University of Iowa Hospitals and Clinics (UIHC) in Iowa City, a guideline for limiting door openings significantly reduced…

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What can you do when you need to store about 9,000 sq ft of equipment in just 7,000 sq ft of storage space? What if your OR supplies are housed in such cluttered, disorganized drawers that staff have difficulty finding things? Unleash the Lean teams, of course. At the University…

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The morbidity and mortality (M&M) conference is a traditional forum that provides clinicians with an opportunity to discuss errors and adverse events. Most are discipline specific. When a mortality or significant morbidity occurs in the OR, however, it is rarely owned by a single discipline. Multiple disciplines take care of…

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