Tag: Scheduling & Utilization

ACS releases new guidance to help healthcare facilities prepare for resuming surgery

Editor' Note The American College of Surgeons (ACS) on April 17 released a new document, “Local Resumption of Elective Surgery Guidance,” to help healthcare facilities prepare to resume elective surgery once COVID-19 has peaked in their area. The document includes four categories: COVID Awareness—addresses the community’s COVID-19 numbers, including prevalence,…

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By: Judy Mathias
April 20, 2020
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New scoring system to ethically, efficiently prioritize surgical procedures during COVID-19 pandemic

Editor's Note Researcher at the University of Chicago have developed a new scoring system that helps surgeons across all specialties decide when to proceed with necessary surgical procedures in the face of resource constraints and increased risks posed by COVID-19. The process, called Medically Necessary, Time-Sensitive (MeNTS) prioritization, was created…

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By: Judy Mathias
April 15, 2020
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ACS, AORN, ASA release joint statement on elective surgery decision making

Editor's Note The American College of Surgeons (ACS), Association of perioperative Registered Nurses (AORN), and the American Society of Anesthesiologists (ASA) on March 24 released a joint statement regarding decision making on elective surgeries. The statement includes that: "A Surgical Review Committee, composed of surgery, anesthesiology, and nursing personnel is…

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By: Judy Mathias
March 25, 2020
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OR business leaders anticipate growth and opportunities in 2020

Planning for volume growth and adopting best business practices for the perioperative environment were overarching themes at the 2020 OR Business Management Conference (ORBMC) in late January. Leading healthcare industry clinicians and experts offered fresh insights into competing in the burgeoning outpatient surgery market and persuading stakeholders to switch to…

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By: Elizabeth Wood
March 16, 2020
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Establishing and leveraging data analytics for ERAS

Virginia Commonwealth University Health System (VCU Health) in Richmond is a Magnet facility, and as such we continually examine innovative ideas to improve the quality, safety, and care of our patients. Evidence has linked Enhanced Recovery After Surgery (ERAS) with better outcomes, and ERAS has become a focal point at…

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By: OR Manager
March 16, 2020
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Back to basics: How collaboration can improve PACU patient flow

Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…

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By: Catherine Spader, RN
February 21, 2020
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Examining timing of TKA

Editor's Note The timing of total knee arthroplasty (TKA) is important to optimize its benefits, but 90% of patients are waiting too long to have it and getting less benefits, and some 25% of patients are having it prematurely when the benefits are  minimal, this study finds. Of 3,417 knees…

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By: Judy Mathias
January 23, 2020
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FCOTS increase through smarter scheduling and surgeon accountability

Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…

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By: Judith M. Mathias, MA, RN
January 13, 2020
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Can punctuality decrease OR costs?

Editor's Note In this study from Washington University School of Medicine, St Louis, a first case on-time starts (FCOTS) improvement initiative was linked to a higher frequency of FCOTS, which was independently associated with last case on-time ends (LCOTE) and decreased OR overtime costs. Of 12,073 cases (6,095 pre- vs…

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By: Judy Mathias
December 18, 2019
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Data-driven surgical scheduling system improves efficiency

Editor's Note Compared to the historical mean (HM) scheduling approach, the data-driven regression modeling (RM) method improves multiple measures of operative suite efficiency and personnel satisfaction without adversely affecting clinical outcomes, this study finds. The HM approach included case duration of the most recent 4 years, and the RM system…

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By: Judy Mathias
November 14, 2019
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