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December at a Glance

Quality improvement efforts cut readmissions Hospitals participating in the Hospital to Home Quality Improvement Initiative had statistically significant changes in strategies to reduce readmissions, a study finds. In a survey of 437 participants, more hospitals reported: • partnering with other local hospitals to reduce readmissions • discharging patients with a…

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By: OR Manager
January 30, 2013
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September At a Glance

Nurse burnout is linked to infection rates Nurse burnout leads to higher health care-associated infection rates and costs hospitals millions of dollars annually, new research finds. The study of more than 7,000 RNs in 161 Pennsylvania hospitals found more than one-third were suffering from burnout. Multivariate analysis showed a significant…

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By: OR Manager
September 1, 2012
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Editorial

NSQIP—you see those initials more and more in studies on surgical quality. NSQIP stands for the National Surgical Quality Improvement Program from the American College of Surgeons (ACS). NSQIP is gathering momentum, with 475 hospitals enrolled. Benefits are credible data for improving surgical outcomes and the buy-in from surgeons. By…

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By: OR Manager
August 1, 2012
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Huge cost for total hip, knee surgical infection

  Readmission of patients who develop surgical site infections (SSIs) after total knee and hip replacement is common, adding more than $65 million to health care costs annually, in a new study. “We found that the impact of these infections is not only significant and profound in the immediate diagnosis…

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By: OR Manager
August 1, 2012
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1 in 5 hospital RNs is depressed

The rate of depression in hospital–employed nurses, at 18%, is twice the rate of the general population, finds a study. Body mass index, job satisfaction, number of health problems, mental well-being, and health-related productivity were significantly related to depression in the survey of 1,171 RNs. Advanced practice nurses and nurse…

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By: OR Manager
August 1, 2012
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New TJC tool for hand-offs

The Joint Commission Center for Transforming Healthcare announced its new Hand-off Communications Targeted Solutions Tool in June 2012. The tool will assist organizations with the process of passing patient care information from one caregiver to another to prevent miscommunication. Organizations piloting the tool reduced readmissions by 50% and reduced by…

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By: OR Manager
August 1, 2012
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August At a Glance

Regional anesthesia better for hip fracture Regional anesthesia was linked with a significant reduction in major pulmonary complications and death after hip fracture surgery in a study. Of patients having hip fracture surgery in 126 New York State hospitals, those who had regional rather than general anesthesia had 29% lower…

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By: OR Manager
August 1, 2012
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Visual cues help to improve the turnover process

Third of 3 articles on applying Lean management to turnover time.   Creating a “visual workplace” is a principle in Lean management. Visual cues have been one solution for improving turnover time at Thomas Jefferson University Hospital in Philadelphia. In a visual workplace, the goal is to make waste, problems,…

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By: OR Manager
July 10, 2012
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New study benchmarks performance of ASCs

The impact of health care reform on ambulatory surgery centers (ASC)—like that on health care in general—is still uncertain. But plenty of other factors are at work that are likely to play a role in shaping the industry’s future. While the dramatic growth of the 1990s has largely abated, a…

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By: OR Manager
March 2, 2012
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Proposed CoP reg to expand use of nonphysicians

OR Manager; Vol. 27 No. 12; December 2011 Medicare is proposing a major overhaul to its conditions of participation (CoP) that would give hospitals wider latitude in the use of practitioners such as advanced practice RNs (APRNs) and physician assistants (PA). The rule would also expand use of standing orders…

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By: OR Manager
December 1, 2011
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