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Staff input enriches labor benchmarking data

Labor is the most important resource in an OR and must be used effectively to maintain the financial health of an organization and the well-being of patients. “OR leaders need data tools to manage their labor dollars. How do you know if you are doing it well?” asks Sharon Ulep,…

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By: Cynthia Saver, MS, RN
June 18, 2019
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Hats on! How ASC administrators manage multiple roles

It is not unusual for OR leaders to perform many different roles: Boss, mentor, coach, facilitator, or participant, to name some. Administrators in ambulatory surgery centers (ASCs) likewise are tasked with many different responsibilities, often shifting among multiple roles within the same day. With the rapid growth in volume and…

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By: Amy L. Bethel, MPA, RN, NE-BC
June 18, 2019
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How will artificial intelligence impact surgical patient care? Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. Part 1 of this introduction to the series (OR Manager, May 2019, 1, 7-11) defined several different types of…

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By: Cynthia Saver, MS, RN
May 17, 2019
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Artificial intelligence makes surgical 'black box' smarter

Perioperative services departments have been slow to adopt the black boxes used in the aviation industry, partly because it can take a large team of experts hours to analyze data collected by the box. However, the team behind a surgical black box is using artificial intelligence (AI) to significantly cut…

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By: Cynthia Saver, MS, RN
May 17, 2019
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From NASA to the OR: How to launch on-time starts

Northwestern Medicine Lake Forest Hospital, located in Lake Forest, Illinois, has taken a giant leap in curtailing late starts in the OR. In December 2016, the facility’s on-time start percentage was only 37%. Perioperative team members dug in their heels and, by August 2017, increased their on-time starts to 77%.…

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By: Catherine Spader, RN
May 17, 2019
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What should you do if your sterilizer fails?

A sterilization failure is a significant event. Receiving a positive biological indicator (BI) result from a sterilizer can be devastating and presents a patient safety concern because it could result in infection. This article addresses the proper action to take in the event of a positive BI result and biological…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
May 17, 2019
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Cardiology services: The next wave in ASCs?

Many experts see cardiovascular (CV) care as the next wave in ambulatory surgery centers (ASCs), and a hybrid office-based lab (OBL)/ASC model is gaining momentum across the country. Robert J. Zasa, MSHHA, FACMPE, president and CEO of Ambulatory Systems Development, LLC, in Incline Village, Nevada, sees the hybrid arrangement as…

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By: Jennifer Lubell
May 17, 2019
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Cross-training staff solves competency and engagement puzzle

High labor costs, surgeon dissatisfaction, high staff turnover, and low staff competency are problems that dog many OR leaders at some point in their careers. When managers at the Stanford University Medical Center Main OR in Stanford, California, found themselves facing all of these problems at once, they knew something…

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By: Judith M. Mathias, MA, RN
April 22, 2019
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ORBMC gets business leaders off to a strong start in 2019

San Diego in January is a place where many people would rather be, and the 475 healthcare business and industry leaders who gathered there for the 2019 OR Business Management Conference (ORBMC) enjoyed the mild climate along with high-quality presentations and fun networking events. Conference attendance rises each year, yet…

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By: Elizabeth Wood
March 15, 2019
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Non-opioid pain management gaining favor in ASCs

Pressure to contain opioid overuse in the United States is at a boiling point. The Centers for Disease Control and Prevention reports that overdose deaths linked to opioid prescriptions have increased fivefold over the last two decades. To reduce reliance on opioid prescriptions, the Centers for Medicare & Medicaid Services…

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By: Jennifer Lubell
March 15, 2019
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