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Although outpatient surgery managers often focus on avoiding wrong-site surgery, they should be equally concerned about delays in treatment and operative/post-op complications, which together cause sentinel events that are reported more often than wrong-site surgery.
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The Centers for Medicare & Medicaid Services (CMS) has changed the Medicare list of procedures approved to be performed in ambulatory surgery centers, according to the Federated Ambulatory Surgery Association.
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Why do most of us not have maids that come in and clean our home? Too expensive, most of us would say. Others may say it is not necessary, but generally we would rather do it ourselves and save that money for other occasions, right?
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With repeated offenses on physician harassment of staff, consider sending a formal letter saying a physicians behavior is not acceptable, suggests Anita S. Lambert-Gale, RN, MES, vice president of clinical operations at Nashville, TN-based HealthMark Partners, which co-owns and manages surgery centers with physicians and hospitals.
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When you update your policies to address sexual harassment, change them to prohibit all forms of unlawful harassment, advises Brian A. Lapps Jr., JD, member at Waller Lansden in Nashville, TN. Lapps, along with E. Brent Hill, JD, also a member at Waller Lansden, spoke at the most recent annual meeting of the Federated Ambulatory Surgery Association.
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The staff in the pre-op area see the nurse liaisons interaction with patients and families as having a calming effect on the patient and family members, especially when there are delays, and [post-anesthesia care unit] nurses are relieved that the family is being taken care of so they can concentrate solely on the patients needs, explains Maureen Spangler, RN, CNOR, director of perioperative services at Lexington Medical Center in West Columbia, SC.
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What staff position can be described as beneficial to your outpatient surgery program by 82% of your surgeons, 93% of your RN circulators, and 99% of your PACU staff, and 100% of your preop staff? And by the way, this same staff person also is described as very beneficial by 88% of your patients.
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One of the bigger headaches for IRBs is having to sift through hundreds or thousands of unanticipated problems submissions when most of these should never have been reported.
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It can be a challenge to design a training program in human subjects protection that can meet all the needs of varied researchers from biomedical to social-behavioral disciplines, from introductory courses to advanced topics for experienced researchers.
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Intermountain Health Care Urban South Region of Provo, UT, revamped its IRB process with a goal of reducing its lengthy response time and improving quality in IRB submissions.
