Surgery

Innovations

Realistic Simulations Improve Teamwork and Care Processes in the Operating Room 07/24/08

Practicing simulated surgical situations in real hospital operating rooms leads to better teamwork and improved care processes during everyday practice.

Real-Time Surgery Tracking Leads to Better Operating Room Utilization and Turnover, and Earlier Surgery Starts 07/22/08

Regional Medical Center revised its process for tracking the current status of operating rooms to efficiently update staff and surgeons about surgical procedures that are in progress, thus allowing them to fill available gaps in the schedule and quickly respond to delays in room turnover.

Revised Consent Process Based on Customized, Easy-to-Understand Form Enhances Patient Understanding and Decisionmaking for Cardiac Catheterization 06/09/08

The Mid America Heart Institute of Saint Luke's Hospital developed a customized consent process based on a computer-generated consent form for cardiac catheterization and related interventional procedures.

Six-Sigma Inspired Workflow Redesign Leads to Better Adherence to Evidence-Based Protocols and Fewer Infections for Surgery Patients 06/03/08

To reduce surgical site infections, Decatur Memorial Hospital used Six-Sigma techniques to review and standardize workflow processes for surgical patients throughout their hospital stay, with a focus on increasing adherence to evidence-based protocols related to antibiotics.

Process Improvements Based on Lean Principles Reduce Operating Room Foot Traffic, Leading to Reduced Risk of Infection and Enhanced Staff Productivity and Satisfaction 02/20/08

Exempla Lutheran Medical Center used principles adopted from the Lean method of the Toyota Production System to improve patient safety and the overall functioning of the operating room by reducing foot traffic into and out of the surgical suite.

Comprehensive, Hospital-Based Program Significantly Reduces Pressure Ulcer Incidence and Associated Costs 02/20/08

OSF Saint Francis Medical Center in Peoria, IL, developed a comprehensive program called “Save Our Skin” that significantly reduced the incidence of pressure ulcers.

Standardized Processes Improve Adherence to Evidence-Based Protocols, Significantly Reducing Common Surgery-Related Complications 02/20/08

A hospital standardized and automated evidence-based protocols and processes, leading to a significant reduction in surgical site infections, postoperative myocardial infarction, and postoperative deep vein thrombosis.

Preoperative Safety Briefing Reduces Wrong-Site Surgery and Nursing Turnover, Enhances Safety Attitude 01/25/08

A presurgical safety briefing held by the operating room team before every procedure has virtually eliminated wrong-site surgeries, enhanced operating room staff satisfaction and perceptions of safety, and reduced nurse turnover.

Comprehensive Program That Includes Standardized Protocols and Pain Management Team Significantly Reduces Narcotic Oversedation in Hospital Setting 01/25/08

A comprehensive hospital program that includes standardized protocols and various support systems to encourage adherence to these protocols led to an 81-percent decline in serious narcotic oversedations.

Patient- and Family-Centered Care Initiative Is Associated With High Patient Satisfaction and Positive Outcomes for Total Joint Replacement Patients 01/24/08

Magee-Womens Hospital of the University of Pittsburgh Medical Center implemented the Patient and Family Centered Care Methodology and Practice, a low-technology, systems-based approach to inpatient care that focuses on providing care from the patient's and family's perspective; the program is associated with high rates of patient satisfaction, functional status, and adherence to evidence-based care protocols, along with low infection rates and length of stay.

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