OR Manager - April 2019 - 4

Editorial
Continued from page 3
implementation of a fairly simple
rule was the solution to poor compliance
at Signature Healthcare
Brockton Hospital, a teaching facility
near Boston, in 2015. Their
" red rule " stipulated that, for nonemergent
cases, a patient could not
be moved from the stretcher to the
operating table if the surgeon was
not present. The red rule gave them
leverage for implementing a preoperative
checklist, and the team
also insisted on having a postprocedure
debrief before any team member
left the OR. Within a matter of
months, checklist compliance rose
from 44% to 100%, the authors say.
Cost savings
Data transparency-in particular, making
surgeons aware of costs-can help
reduce expenses. Business leaders
at the University of California at San
Data transparency
linked to cost
savings.
Diego came up with a " surgical receipt "
a few years ago to do just that. The ability
to provide actual product costs and
usage/wastage data not only raised
awareness of product use, it also improved
communication and led to the
creation of internal cost benchmarks
( " Surgical Receipt Raises Quality Standards,
Lowers Costs, " January 2017,
21-24; https://www.ormanager.com/
surgical-receipt-raises-quality-standardslowers-costs/).
" The
biggest benefit resulting from
this project is the increased communication
between the surgeons, nurses,
and administration, " the authors say.
" Surgeons are giving clinical teams
feedback on what to open and when. "
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Perioperative services leaders at
Bassett Healthcare in Cooperstown,
New York, likewise improved communication
with surgeons when they overhauled
preference cards ( " Preference
Card Cleanup Projected to Cut Costs
Across Departments, " June 2017, 2021,
28; https://www.ormanager.com/
preference-card-cleanup-projected-cutcosts-across-departments/).
A clinical
nurse specialist in informatics did an
in-depth analysis of preference cards
and unused instruments. Potential cost
savings from changes in reusable and
disposable instruments and sutures
were then calculated, and the data were
shared with surgeons. The overall average
savings per surgeon for 1 year was
projected to be just over $6,000.
Scheduling
OR Manager has received more contributed
articles on scheduling than any
other aspect of OR management.
One intriguing article comes from phyJune
8-9, 2019 * Houston, TX
Texas Children's Hospital
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OR Manager - April 2019

Table of Contents for the Digital Edition of OR Manager - April 2019

OR Manager - April 2019 - 1
OR Manager - April 2019 - 2
OR Manager - April 2019 - 3
OR Manager - April 2019 - 4
OR Manager - April 2019 - 5
OR Manager - April 2019 - 6
OR Manager - April 2019 - 7
OR Manager - April 2019 - 8
OR Manager - April 2019 - 9
OR Manager - April 2019 - 10
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