OR Manager - June 2019 - 1

JUNE
2019
Volume 35
Number 6
The monthly publication for OR decision makers
IN THIS ISSUE
OR Manager Conference
Good questions lay
foundation for powerful
leadership pipeline
Special series: Artificial
intelligence
Artifi cial intelligence
makes surgical 'black
box' smarter
Top 10 Patient Safety
Concerns for 2019
Process improvement
From NASA to the OR: How
to launch on-time starts 22
Sterilization & infection
prevention
What should you do if
your sterilizer fails?
26
Ambulatory Surgery Centers
Cardiology services:
The next wave in ASCs? 28
Patient satisfaction
OR leaders see benefi ts of briefer
NPO period
hough long fasting before a surgical
procedure is tied to increased
patient risks, the outdated guideline
of NPO after midnight continues
to be practiced by many healthcare
organizations.
T
In 1999, the American Society of
Anesthesiologists (ASA) revised their
fasting guidelines to clear liquids up to
2 hours before surgery and solid food
up to 8 hours for healthy patients having
elective procedures (ASA Class I
& II). The ASA reviewed the guidelines
again in 2010 and 2015 without any
further modifications.
Despite the new guidelines, however,
transitioning from this entrenched
" Sacred Cow " to evidence-based practice
has been met with many barriers.
Two years ago, perioperative leaders
at Monadnock Community Hospital, a
critical access hospital in Peterborough,
New Hampshire, with five ORs, decided
to put this Sacred Cow out to pasture.
To fast or not to fast
After working at two large Boston hospitals
where the accepted practice
was NPO after midnight, John Poillucci,
MSN, RN, CNML, CNOR, became director
of perioperative services at Monadnock.
He wasn't there long before
the manager of perioperative services,
13
ECRI Institute Perspectives
18
6
A
s part of a special series on artificial
intelligence (AI), OR Manager
is taking a deep dive into
the many facets of this new technology
and its impact on patient care. Part 1
of this introduction to the series (OR
Manager, May 2019, 1, 7-11) defined
several different types of AI and made
some projections about future applications
of the technology. Part 2 will
describe the many current and potential
surgical applications of AI.
Artificial intelligence is already making
an impact in surgery, and its use is
expected to grow rapidly. " I think AI will
increase efficiency, reduce costs, and
really help people, " says John Beard,
MD, MBA, medical director at ICU Medical,
Inc, in San Clemente, California.
He notes that there are specific uses
for AI at every stage of the surgical continuum,
as described in this article.
Continued on page 9
How will artifi cial intelligence impact
SPECIAL SERIES
surgical patient care? Part 2
Continued on page 6
Continued on page 16

OR Manager - June 2019

Table of Contents for the Digital Edition of OR Manager - June 2019

OR Manager - June 2019 - 1
OR Manager - June 2019 - 2
OR Manager - June 2019 - 3
OR Manager - June 2019 - 4
OR Manager - June 2019 - 5
OR Manager - June 2019 - 6
OR Manager - June 2019 - 7
OR Manager - June 2019 - 8
OR Manager - June 2019 - 9
OR Manager - June 2019 - 10
OR Manager - June 2019 - 11
OR Manager - June 2019 - 12
OR Manager - June 2019 - 13
OR Manager - June 2019 - 14
OR Manager - June 2019 - 15
OR Manager - June 2019 - 16
OR Manager - June 2019 - 17
OR Manager - June 2019 - 18
OR Manager - June 2019 - 19
OR Manager - June 2019 - 20
OR Manager - June 2019 - 21
OR Manager - June 2019 - 22
OR Manager - June 2019 - 23
OR Manager - June 2019 - 24
OR Manager - June 2019 - 25
OR Manager - June 2019 - 26
OR Manager - June 2019 - 27
OR Manager - June 2019 - 28
OR Manager - June 2019 - 29
OR Manager - June 2019 - 30
OR Manager - June 2019 - 31
OR Manager - June 2019 - 32
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