The Business of Surgery 
Immersed in texts, apps, QR codes, and streaming videos, we live in a digital world. And yet, healthcare has been slow to catch up. Most nurses and other staff still hand out packets of paper and relay information verbally, whether in person or over the phone. It does not have…
Takeaways • Visual management (VM) tools support Lean efforts, leading to improved quality and efficiency. • VM boards provide an overview of processes, facilitate problem solving, and promote staff-manager collaboration. • Other VM tools such as color coding and customized instrument trays can help reduce errors and save money. Lean…
What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…
“Surgeons are the only people trained to provide surgery—life-saving care," says Carrie Zlatos, chief of legislative and political affairs at the American College of Surgeons (ACS). "They are an essential element of a community-based healthcare system. Regardless of where you live, everyone should have access to full quality surgical care.”…
Stem cell therapy is poised to revolutionize regenerative medicine. As these therapies advance, they may alter or even replace certain invasive surgical procedures. Already undergoing advanced clinical trials, orthopedic applications are likely candidates for attracting the earliest adopters. Results so far indicate significant potential for providing alternatives to implants, grafts,…
Perioperative leaders are entering a time of uncertainty after 2024 proved to be transformative for inpatient and outpatient surgical care. Last year saw important updates from The Joint Commission and the Centers for Medicare & Medicaid Services (CMS) that emphasized improvements alongside ongoing challenges in safety, workforce shortages, reimbursement, and…
Data is collected everywhere, from what we click online to whether we run a red light to how many steps we take each day. There is power in data. When leveraged effectively, data reveal patterns, insights, behaviors, and other potentially actionable intelligence. It stands to reason that data would be…
Reliable and robust enough for daily use on most medical devices, steam is the most common sterilant in healthcare facilities. However, using steam properly requires a balancing act. For example, too much moisture can lead to wet packs, while steam that is too dry might not be sufficient to achieve…
Amid rising demand for surgical procedures, improving perioperative operations is a pressing priority for any hospital. For a system serving one of the fastest-growing counties in the US, it becomes an operational imperative. This is the case for WakeMed Health & Hospitals (WakeMed). With ORs spread across multiple facilities in…
Takeaways • The 3A Strategic Thinking Framework and the GOST Framework are examples of tools that can help make the abstract process of strategic thinking more concrete for perioperative leaders. • Carving out dedicated time for planning and fostering strategic thinking in others are important to achieve optimal results. •…
