Observations on Performance Improvement in Surgical Patient Care

Embrace early adopters in the group of nurses, technicians, anesthesiologists, and surgeons who may help drive change among their colleagues.6 * Promote collaboration among OR nurses, surgeons, and anesthesiologists by helping to establish a dyad or triad leadership team that can work to achieve pat...

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Bibliographic Details
Published in:AORN journal 2019-10, Vol.110 (4), p.351-354
Main Author: Greene, William H.
Format: Article
Language:English
Subjects:
Caregivers
Health care
Hospitals
Leadership
Medical personnel
Medicine
Nursing
Patient safety
Professional relationships
Professionals
Quality
Surgeons
Surgery
Surgical outcomes
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Summary:Embrace early adopters in the group of nurses, technicians, anesthesiologists, and surgeons who may help drive change among their colleagues.6 * Promote collaboration among OR nurses, surgeons, and anesthesiologists by helping to establish a dyad or triad leadership team that can work to achieve patient safety by helping to choose what is important to measure and improve; meeting together, as a team, at frequent intervals to review data; holding regular all-staff meetings that include the PSP and PI personnel dedicated to perioperative services; completing multidisciplinary simulations that encompass effective communication techniques both inside and outside the OR environment; and finding methods by which to hold all clinicians accountable for substandard care and disruptive behavior. [...]variation in turn contributes to deviation from the desired path, process, or outcome. [...]much of PI involves system redesign to a greater or lesser degree-from radical change to decreasing variation by simplification, specification, reminders, and rules that favor the desired path, process, or outcome. Health care workers wish to provide the best care and to be known for doing so. [...]meaningful data about performance and outcomes (eg, physicianspecific data on first-case start times) should be compiled and presented in readily understandable dashboards. Acknowledgment: The author thanks David Feldman, chief medical officer and senior vice president of the Hospitals Insurance Company, New York City, for his review of and helpful comments on this article. © AORN, Inc, 2019 William H. Greene, MD, Fellow of the Infectious Diseases Society of America (FIDSA), is a founding member of and consultant for OR Dx + Rx: Solutions for Surgical Safety, Wellesley, MA; a clinical associate professor of Medicine at the Stony Brook School of Medicine, State University of New York, New York City; and the former chief quality officer at Stony Brook University Hospital, New York City.
ISSN:0001-2092
1878-0369
DOI:10.1002/aorn.12830