“Each year, diagnostic errors result in the deaths of an estimated 44,000 to 80,000 patients, and many thousands die because of teamwork and communication errors affecting their care or because they do not receive necessary evidence-based interventions,” according to an article published online last year in JAMA. No one would…

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More than 7 million Americans are living with a prosthetic knee or hip, and there is a growing incidence of adults younger than 65 undergoing these procedures, researchers reported at the 2014 annual meeting of the American Academy of Orthopaedic Surgeons in March. Among those over 50 years of age,…

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In many surgery departments, schedule management is a daily struggle. Staff work hard to manage case requests, juggle resources, and respond to changes, but errors, inefficiencies, and general frustration persist. The results are frequent case delays and cancellations, low utilization, high costs, low staff morale, and poor surgeon satisfaction. The…

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The expanded volume of interventional cardiology in recent years has played a major role in the growing prevalence of hybrid ORs. As a result, many perioperative services leaders have had to develop systems for managing hybrid ORs along with traditional ORs. “Management of hybrid ORs is really a collision of…

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Most perioperative leaders are concerned about turnover time. And rightly so—lengthy turnovers squander expensive OR minutes. The typical surgery department, however, gives less attention to case time. Many OR directors view case time as a lower priority that is largely out of their control. This is a mistake. Prolonged case…

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Working for a small facility after spending many years at a large one can present a host of leadership challenges, but meeting those challenges with process changes and improved efficiencies can be highly satisfying. After serving more than 23 years at the Cedar Crest campus of Lehigh Valley Health Network…

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With decreasing Medicare reimbursements and increasing pressure to reduce costs, OR leaders everywhere are looking for creative solutions to balance their budgets. At Thomas Jefferson University Hospital (TJUH) in Philadelphia, standardizing surgical mesh looked like a way to save a bundle, and indeed a $1.5 million savings over a 3-year…

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We spoke recently with surgery department leaders at an academic medical center in the Midwest. One of their biggest concerns was a challenge faced by many ORs today: “Flip rooms are just killing us.” Most surgeons prefer the efficiency and revenue potential of a flip room schedule. But for hospitals,…

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Bristol Hospital had a supply problem. Instruments were often missing from case carts, so nurses had to scramble to find the items on the morning of a scheduled procedure. Staff wondered whether the problem was caused by shortages, but a Lean process revealed an entirely different scenario and forged a…

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Huddles are hot. Experts cite them as effective patient safety tools, and many hospitals have implemented them on nursing units at the start of the shift. The perioperative services team at Vanderbilt University Medical Center in Nashville, Tennessee, broadened the huddle concept to include several disciplines and a structured format,…

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