OR Manager - August 2018 - 10
Patient safety
Continued from page 9
their preoperative blood sugar to determine
if they're a good candidate for
surgery, " she says.
" You have to think about what will
affect outcomes, " Bethel says. " The
surgical experience is an episode in the
continuum of care, and sometimes we
don't spend a lot of time with these patients,
so how do you make meaningful
interventions? "
Health literacy is another thing to
consider, she notes. Do patients understand
discharge instructions? Can they
read and write? " Our organization has
looked at consents, home instructions,
any patient literature-we've been evaluating
it from the health literacy perspective.
Is it easy to understand? "
Under federal law, interpretive services
must be offered to patients who
don't speak English. Bethel notes that
family members sometimes want to
interpret for their loved ones, but to
do so, they must sign a waiver. And,
by law, an interpreter must be involved
when such a waiver is signed. " It's an
important process, but one that can
take time to manage, " she says.
Communicating across departments
is very important, Bethel says. " We
have a document in Epic called Transitions
of Care that pulls information from
the episode of care. This information is
viewable by others who may be caring
for the patient, " she says.
The Cleveland Clinic has similar documentation
in place through the electronic
medical record. The individual plan of
care creates a workflow and care pathway
that is discussed with the patient,
Duran says. This plan of care, once established,
is followed at any Cleveland
Clinic hospital. In the case of a patient
who is an opioid abuser, she says, the
plan of care supports appropriate medication
management throughout the patient's
perioperative stay.
Getting surgeons on board
In 2015, the American College of Surgeons
and the National Institutes of
Health convened a summit with 60
leading researchers and clinicians. They
defined the following as top research
priorities:
* improving patient-clinician communication
*
fostering engagement and community
outreach through technology to
optimize patient education, health
literacy, and shared decision making
* improving care at facilities with a
higher proportion of minority surgical
and trauma patients
Surgical leaders
thrive at HCA
Healthcare
In 2017, HCA Healthcare affiliates performed over
1.5 million surgeries at 177 hospitals and 119 surgery
centers across 19 U.S. states. That unmatched scale
offers unparalleled opportunities for nurses with the
certifications, experience and drive to lead in a quality
driven, patient-focused clinical environment.
Visit HCAHealthcare.com/SurgicalServicesLeaders
10
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http://www.HCAHealthcare.com/SurgicalServicesLeaders
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OR Manager - August 2018
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