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Surgery

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  • Want staff to speak up? Use step-by-step process

    To improve patient safety by encouraging providers to speak up about their concerns, managers should focus on the influences that have the strongest effect on behavior, suggest the authors of The Silent Treatment, a report released by the Association of periOperative Registered Nurses, the American Association of Critical-Care Nurses, and VitalSmarts, a training company in Provo, UT.
  • Strong red rules and safety cells cut errors

    (Editor's note: This issue includes the second part of a two-part series on how a hospital addressed a wrong-site surgery. Last month, we looked at the details of the event and how the facility responded. This month, we look at what specific changes were made and how the top leader started networking with other CEOs on safety issue.)
  • Response to infections: Hire an overseer

    Several incidents of infection control breaches have been reported in recent months among ambulatory surgery providers:
  • Recent verdict raises issue: When do you refer to a high-volume provider?

    A major vein was torn during a Whipple procedure at a hospital that performs the procedure a few times a year, according to a case reported on The Law Med Blog.
  • ID theft — Should you spend more on security?

    One-third of providers say their organization has had at least one known case of medical identity theft, and some of those cases might not have been reported, according to the most recent annual survey results from the Healthcare Information and Management Systems Society (HIMSS).
  • Facility revamps safety after wrong-site surgery

    (Editor's note: This issue includes the first part of a two-part series on how a hospital addressed a wrong-site surgery. This month, we look at the details of the event and how the facility responded. Next month we look at what specific changes were made and how the top leader started networking with other CEOs on safety issues.)
  • Warning! Some drugs diverted for murders

    A 35-year-old nurse practitioner was convicted for the murder of her husband. She became a murder suspect after investigators discovered she had lied about an extramarital affair and had surreptitiously left the hospital and driven to her house shortly before the house was discovered on fire with her husband inside.
  • Is informed consent better on a computer?

    There's a new trend in outpatient surgery toward computer-based informed consent. But does this method offer any advantages, legal or otherwise? Yes, according to sources interviewed by Same-Day Surgery.
  • Same-Day Surgery Manager: Three lessons for staying in the OR, not in court

    Oh my. This is such a litigious time we live in. People are hurling themselves in front of moving buses, throwing themselves down steps, and falling in food stores, all in an effort to cash in on unearned and undeserved booty from insurance companies in frivolous lawsuits.
  • Legal risks rise when clinicians date patients

    A few months after performing breast augmentation on a patient, a California surgeon had a consensual three-month relationship with her.