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In many cases, inappropriate phone calls are more obvious to people other than the patient or the manager. For instance, Bonnie Russell, owner of 1st-Pick.com, a public relations agency in Del Mar, CA, says she has had several conversations with surgeon clients while they were operating on patients.
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Two international cases show how phone use during surgery can be cited as a contributing cause to alleged malpractice. In a case from Israel, a woman underwent hand surgery in Tel Aviv's Sheba Medical Center and then filed a lawsuit claiming malpractice by her surgeon.
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Antibiotic-resistant infections are not new to the health care setting, but headlines throughout the country have increased public awareness of the potential risk of infection to a wider range of people in the community.
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Although patient care is the No. 1 priority for outpatient surgery managers and staff members, a growing number of health care employees are recognizing that their workday activities can affect more than a patient's health. They also can affect the environment.
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Environmental consciousness is such a big part of the corporate culture at Boulder (CO) Community Foothills Hospital that the surgery program staff constantly comes up with new ideas to help the department reduce waste, recycle, and conserve resources.
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Now that we've started a new year, let's have no more resolutions. We're going to do something different this year. We are going to change our behavior (oh, yes, completely different from resolutions!) in areas that scream for attention.
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Recent federal and state cases involving accusations of fraud against outpatient surgery providers have gotten the attention of managers who wonder, could my program fall under similar scrutiny?
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Hospital inpatients with methicillin-resistant Staphylococcus aureus (MRSA) are isolated from other patients to reduce the risk of colonizing other patients or visitors, but how does an outpatient surgery program isolate a patient when there often is a shortage of space and a need to move many patients through a single area in a short time?
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Employees have gotten very creative about diverting medications and drugs, and some are using newer anesthetics that aren't easy to test for, warns Bruce Cunha, manager of employee health and safety, and infection prevention and control, at Marshfield (WI) Clinic.
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Education is an important facet of the drug testing program at Tampa (FL) General Hospital, says JoAnn Shea, CHON-S, MS, ARNP, director of employee health services.
