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.
“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.
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.
It’s hard to overstate the importance of trust and confidence in the operating room when so much is on the line. The surgeon needs to know that every member of the OR team is experienced and reliable. This is especially true of the surgical assistant, who serves as an extension of the physician before, during, and after the procedure. In addition to providing exceptional clinical skills, a valuable surgical assistant (SA) understands the surgeon’s preferences and enables a rhythm and a shorthand that promote successful patient outcomes and surgeon satisfaction.
Sometimes a few fundamental changes can breathe new life into an existing process and, as a result, enhance the performance of your surgeons and staff. Even if your routine is working relatively well, service line changes in your operating room can achieve improved results, such as higher levels of surgeon satisfaction and patient care quality, both of which can generate greater value for your organization and your patients. But any changes in and around the surgical suite need surgeon support to optimize success. Here are six guidelines to help engage surgeons as a first step toward project planning and improved performance.
Perfusion is an integral part of your hospital’s cardiovascular care program, but the overhead costs and administrative burden of maintaining and managing a team of reliable perfusionists with advanced skills can pose challenges for program administrators. It can be easy, however, to overlook both the indirect costs and benefits of clinical services. So, whether your perfusion is handled in-house or outsourced, we’ve developed a new guide, The Real Spend of Your Perfusion Program: Twelve Tips to Discover the True Value, to help you evaluate your program and any changes that you might be considering.