The operating room suite is a small business unit functioning within a parent organization (hospital or medical center). For this reason, it must be managed with effective business methods similar to those used in industry. Operating Room Management applies constructive business strategy to the operating room suite, dealing with issues including organizational structure, financial management, accounting principles, inventory control, operations management, and marketing. Detailing the elements necessary for the efficient functioning of the operating room, this book is designed to help anesthesiologists and managers who are actively engaged in day-to-day operating room management or who have broad administrative or fiscal responsibilities for the operating room suite.
Risk mgmt in the operating room perioperative antimicrobial prophylaxis the infected health care worker credentialing.
In today's world of cost efficient management of medicine, the need to effectively administer the functions of the operating room are paramount. This text serves as a guide to efficient management and operation of the operating room, thus ensuring the highest quality of care as well as effective cost management. It addresses organizational structure as well as the business and economic aspects of operating room management including negotiating managed care contracts, in-patient and out -patient settings, anesthesia and surgical organization. Addresses health care industry changes that specifically effect the OR --- and offers practical solutions to these challenges Includes information for all operating room personnel, MD and non-MD Utilizes a quality of care / for profit perspective --- ensures the best care and maximum cost management Discusses JCAHO issues for the operating room Includes information on re-engineering the operating room management team and redesigning the OR committee Discusses perioperative assessment, clinical structure and function
Effective management of the OR is critical in all clinical settings, where ensuring that policies, systems, staff members and teams are efficient, safe and cost-effective is paramount. Operating Room Leadership and Management is a comprehensive resource for physicians and administrators involved in the day-to-day management of operating rooms in a hospital setting or smaller-scale facilities. Topics include: • OR metrics • Scheduling • Human resource management • Leadership • Economics • IT management • Quality assurance • Recovery. This practical, evidence-based text is written by leaders in the field of OR management and is relevant to medical directors, administrators and managing physicians. Specific nursing considerations, preoperative patient evaluation, financial performance measures and pain clinic management are also discussed in detail. Operating Room Leadership and Management enables all OR managers to improve the efficiency and performance of their operating rooms.
Distilling the ideas central to managing operating theatres, this book provides a practical and easy to use toolkit to improve theatre efficiency and patient outcomes. It advocates using time as the key measurement and proposes a new norm of operating theatre management based on rational, data-driven principles. Notions of 'efficiency' and 'scheduling' are clearly defined, and a scheduling toolkit available to download accompanies the work. The book's easy to use format supports managers in list planning, performance monitoring and demand-capacity matching while considering limited budgets and resources. It includes contributions from around the world, demonstrating the global application of its core approach. Aimed primarily for operating theatre managers, this book will also interest consultants, senior trainees, nurses and administrators who are involved in the daily running of the operating theatre and/or want to develop their leadership/managerial skills.
An evidence-based guide that describes how to lead an effective operating room, ensuring safety and efficiency while maximizing resources.
Through the use of ICT tools, such as the internet, portals, and telecommunication devices, the quality of healthcare has improved in local and global health; aiding in the development of a sustainable economy. Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care brings together a valuable research collection on ICT elements needed to improve communication and collaboration between global health institutes, public and private organizations, and foundations. Highlighting the adoption and success factors in the development of technologies for healthcare, this book is essential for IT professionals, technology solution providers, researchers, and students interested in technology and its relationship with healthcare and social services.
The demand for anesthesiologists outside of the operating room continues to grow as the number of minimally invasive procedures proliferates and the complexity of diagnostic procedures undertaken outside of the OR increase. Non-Operating Room Anesthesia is an easy-to-access, highly visual reference that facilitates an in-depth understanding of NORA procedures and protocols needed to minimize risk and complications and to maximize growth opportunities. Effectively assess and manage risks and differences in procedures through in-depth discussions addressing the unique challenges and issues associated with non-traditional settings. Review the most recent knowledge with updated coverage of the use of the electrophysiology lab (EPL) and cardiac catheterization laboratory (CCL) in the care of the critically ill patient; patient assessment; and anesthetic considerations. Prepare for varying anesthetic conditions in non-OR settings with in-depth discussions on communication, management, and laboratory preparation for anticipated concerns or complications. Glean all essential, up-to-date, need-to-know information about NORA with coverage that surpasses the depth and scope of review articles and other references. Focus on the practical guidance you need thanks to a user-friendly color-coded format, key points boxes, drug descriptions, checklist boxes (for monitors, equipment, and drugs), and over 400 color photos that help you visualize each procedure and setting.
Competency Management for the Operating Room is a complete competency program created specifically for assessing, validating, and documenting the skills of your OR nurses. This resource has everything you need to meet and exceed the competency requirements of the JCAHO and other regulatory bodies. Within its pages, you'll also find many helpful tips and strategies for effectively assessing and evaluating the training needs of your staff.
This book constitutes the proceedings of the International Conference on the Integration of Artificial Intelligence (AI) and Operations Research (OR) Techniques in Constraint Programming, CPAIOR 2014, held in Cork, Ireland, in May 2014. The 33 papers presented in this volume were carefully reviewed and selected from 70 submissions. The papers focus on constraint programming and global constraints; scheduling modelling; encodings and SAT logistics; MIP; CSP and complexity; parallelism and search; and data mining and machine learning.
Issues in Surgery, Perioperative, and Anesthesia Research and Practice: 2011 Edition is a ScholarlyEditions™ eBook that delivers timely, authoritative, and comprehensive information about Surgery, Perioperative, and Anesthesia Research and Practice. The editors have built Issues in Surgery, Perioperative, and Anesthesia Research and Practice: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Surgery, Perioperative, and Anesthesia Research and Practice in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Surgery, Perioperative, and Anesthesia Research and Practice: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.
Most physicians entering the field of pediatric cardiology are drawn to it by an interest in the wide variety of congenital heart defects which present at various ages. Most congenital heart disease will be evident in early life, presenting with cyanosis, heart murmur, congestive heart failure or shock. Textbooks in pediatric cardiology are filled overwhelmingly with chapters on the various congenital heart lesions which are encountered, both rare and common. However, practicing pediatric cardiologists will be quick to point out that a significant number of referrals to any practice do not involve congenital heart problems. Reviewing our own statistics at the Children’s Hospital of Michigan Cardiology Center for the past two years (2010-2012) reveals that outpatient visits for new patient consultations examined by age groups are: less than 1 year of age – 11%; 1-5 years – 23%; 6-10 years – 21%; 11-18 years – 45%. Retrospective data collected from billing codes, as in this brief survey, may imprecise. However, it does provide a snapshot of the usual referral problems encountered by pediatric cardiologists. In our practice, the most common overall reason for referral in all ages was "heart murmur", constituting 26% of total referrals. Second were rhythm and rhythm related problems (inclusive of palpitations, abnormal ECG and diagnosed premature beats) constituted 19% of the total. In the age group of interest for this book of 11-18 years, the most common presenting issues were rhythm related (23%) and chest pain (23%), followed by syncope or dizziness (19%) and heart murmur (12%). Congenital heart disease diagnoses encountered in the 11 to 18 year age group comprised only 6.5% of referrals within that age group. It is likely that many of these were not new diagnoses (with a few exceptions), but rather represented transfers to our practice. Our own outpatient clinical experience reveals that the majority of outpatients referred by pediatricians for pediatric cardiology evaluation are between the ages of 11 and 18. The majority of these new referrals are not for congenital heart disease. Our intent for this edition of Pediatric Clinics of North America is to describe the types of problems which seem to be of concern to the pediatric community within this age group and to describe strategies for evaluation.
IT changes everyday’s life, especially in education and medicine. The goal of ITME 2013 is to further explore the theoretical and practical issues of IT in education and medicine. It also aims to foster new ideas and collaboration between researchers and practitioners.
The ability to interface patient monitors directly to a computer, and generate a clinical record has existed for over 20 years. However, the acceptance of comprehensive electronic medical records in anesthesia has been slow to develop. Experts anticipate this reluctance is changing because of enhanced patient care through the use of detailed health information record systems. Anesthesia Informatics provides the health informatician and administrator with a comprehensive overview of this blossoming technology. With contributions from leaders in the field, this user-friendly guide addresses how this technology has enhanced both the need for and the ability to collect and apply data in an acute care setting. It also offers invaluable insight on the business implications and the rationales required to make a purchase decision. Each section outlines need to know information to help the reader with the implementation and utilization of an Anesthesia Information Management System. Useful case scenarios focus on the ideal components (anesthesia record, business rationale, communication, collaboration, and training) of a fully automated record-keeping system.
Adverse events in medicine are frequently attributed to errors or system safety concerns. While the medical field lags behind the aviation industry, Crew Resource Management (CRM) and Medical Team Training (MTT) are slowly becoming the mainstays. Literature has proven that patient safety measures including this training improve overall patient care. Crises in the Operating Room (O.R.) are typically associated with cognitive error or system problems, but often are the result of unforeseen internal or external problems. Crisis management leadership in the operating room must progress beyond the typical CRM and MTT exercises and accept that use of Checklists work when the threat to the patient and team are fully recognized. Maladaptive behavior control and effective team leadership only occur when the principles utilized in this book are mastered. After reading this book surgical leaders should be capable of: Recognizing how human error contributes to and perpetuates adverse events; Understanding how system deficiencies can allow a simple error to progress to a catastrophe or how the system can be prepared to mitigate a mistake; Understanding cognitive functions during normal and abnormal circumstances; and Effectively lead their team through the risk management and definitive action process. While the surgeons and other O.R. team members typically self-profess an exemplary response to any threatening event, second hand observer assessment usually reveals significant bias in the ability of team members to handle a crisis appropriately. The uniqueness of this book is its firsthand instructions from military and first responders as to how any organization should respond to a crisis.