The risks and complications of blood transfusion are well documented. One technique commonly used to help reduce the need for bank blood is autotransfusion, also referred to as intraoperative autotransfusion (IAT) or autologous blood transfusion. IAT is a method of collecting the patient’s blood lost during surgery, processing it, and returning it to the patient. This can significantly reduce, or even eliminate the need for blood transfusions, which in turn reduces complications and the cost of care.
On November 3rd, we were honored to accept the 2017 Delaware Valley Patient Safety & Quality Award from The Health Care Improvement Foundation for our submission, “Implementation of a Patient Blood Management Program,” which outlines the integration of patient blood management (PBM) as a daily, embedded quality improvement strategy at Thomas Jefferson University Hospitals (TJUH). The project was evaluated on evidence of significant and sustained improvement in quality, patient safety, innovation, and the potential for replication in other healthcare organizations. As an outsourced provider of PBM implementation, we are thrilled to share in TJUH’s success and we applaud its leadership and organizational commitment to improvement.
The OR Manager Conference is the premier executive-level event for OR directors and OR business managers concerned with management of the surgical suite, and is dedicated to providing industry solutions and leading best practices. With 1,400 executive OR professionals in attendance, the focus this year was to improve efficiency and affectivity with sessions on patient safety, infection control, OR flow, staff motivation, and leadership. All of these topics were discussed in keynotes, in sessions, in networking events, and in the exhibit hall in the context of preparing strong OR leaders for the unpredictable climate we’re currently experiencing in healthcare.
Data-driven, metric-based healthcare is required in today’s value-based environment and essential for sound decision-making. Without it, you’re simply guessing. Cost reductions and real increases in volume, efficiency, and ultimately revenue can be achieved when data and analytics are at your fingertips. That’s why we are excited to introduce SpecialtyCare OptimizeOR™, a user-friendly decision support and analytics system that helps OR managers improve productivity in perioperative performance. OptimizeOR software pulls your key performance measures into an easy-to-use online interface so that you can better manage resources for improved scheduling, staff allocation, and supply utilization. Optimized resource management makes space for increased case volume, minimizes inefficiency, reduces unnecessary spending, and drives patient and surgeon satisfaction.
“We have an enormous problem that is often not beginning on street corners; it is starting in doctor’s offices and hospitals in every state in our nation.” This quote comes from the recent interim report by the Commission on Combating Drug Addiction and the Opioid Crisis. Since 1999, the number of opioid overdoses in the U.S. has quadrupled. Over that same period, the amount of prescription opioids sold has quadrupled as well. With a substantial portion of the population experiencing chronic pain and more than 650,000 prescriptions dispensed every day, the medical profession must employ every available strategy to address the tragic human and economic costs of opioid misuse, abuse, and dependence. One such tactic is to avoid the need for prescription opioids in the first place, or to limit a patient’s pain management need to a very short duration.
Communication in the OR is vital to patient health and safety. Late starts, delays and interruptions, decreased surgeon satisfaction, tension in the OR, and clinical errors often can be attributed to miscommunication or the lack of communication. The effect on patients can be devastating, resulting in readmission, a life-long chronic condition, or worse. The Joint Commission and other organizations routinely list communication failure as one of the most frequent causes of sentinel events, but many “never events” and other problems can be avoided with structured processes and an organizational commitment to prioritize communication.
Parts of the United States are experiencing record-breaking heat this summer, and yet, icebergs are everywhere! Icebergs—the classic metaphor for situations wherein most of the substance (and risk) hide below the surface—have been used to discuss topics as varied as psychology, homelessness, big data, influence, safety, Hemingway, and school performance. Risks hidden below the surface are prevalent in healthcare, too. When teams assess their clinical outcomes, some factors are clear and measurable. These parts of the iceberg are above the surface, and hospitals increasingly are held accountable for them. Other outcomes, or factors that affect outcomes, are lurking within the complexity of hospital operations but are demonstrably significant in the future health of the patient.
Imagine you’re riding a bicycle that slips a chain. It’s a basic fix, but you have to stop pedaling to do it. When your sterile processing chain slips, you don’t get to stop, and it’s very difficult to fix the bike yourself while you’re still pedaling. Hospital administrators and managers focused on continuous improvement are increasing attention on their sterile processing departments to improve quality, efficiency, surgeon satisfaction, and patient care. An outside sterile processing consultant who has the expertise to conduct a useful assessment and create and implement strategic plans can quickly jump start a quality improvement program without disrupting the department’s regular activities. This is a significant advantage over an in-house approach to improvement. As a result, many leading hospitals are engaging expert consultants for help.
Evidence-based patient blood management (PBM) strategies offer significant clinical benefits. Conservation techniques, in particular, help minimize the use of allogeneic red blood cell transfusion, which has been shown to increase the risk of postoperative complications, readmissions, and mortality among patients. Because of the importance of this area of study, SpecialtyCare researchers continue to drill down and analyze the perfusion and autotransfusion cases in SCOPE, the SpecialtyCare Operative Procedural Registry™, to examine the impact of various strategies, develop best practices, and improve patient outcomes.
To strengthen alignment among multiple surgical disciplines, the American Society of ExtraCorporeal Technology (AmSECT) and the American Association for Thoracic Surgery (AATS) teamed up to present a terrific joint learning opportunity, holding AmSECT’s 55th International Conference in conjunction with the Centennial Meeting of the AATS in Boston. The integrated program was designed to improve care by bringing surgeons, perfusionists, and other experts together to foster effective communication and coordination in the operating room. The combined meeting was a great example of collaboration that advances quality through evidence-based learning and improvement. We are proud to have been part of this special event.