Operating Room

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After a surgeon stitches up a patient's abdomen, costly complications -- some life-threatening -- can occur. To cut down on these postoperative problems, Johns Hopkins undergraduates have invented a disposable suturing tool to guide the placement of stitches and guard against the accidental puncture of internal organs.

There is no question that the work done by central service (CS) departments in healthcare organizations across the country has a direct impact on the health and safety of patients. The technicians in CS departments are charged with properly sterilizing instruments used in patient carefrom the operating room suites to clinical areasand getting the right instruments to the physicians when they need them. Important work, no doubt, but another question remains. Can the satisfaction these internal customersthe doctors, nurses and others working in the hospital and clinichave with CS make an impact on our external customersthe patients we serve? At Gundersen Lutheran Health System, we believe the answer is yes, and have set a goal to provide the best possible customer service not only for our patients, but for one another.

For a year and a half, the University of Michigan Health System turned one of its head and neck surgery practices into a laboratory. The goal was to see if lean thinking techniques pioneered by the auto industry could be applied to the operating room in ways that simultaneous improved service for patients as well as improve overall efficiency.

"Superbug" bacteria are an ever-increasing threat to public health and are among the most difficult to treat. Many have built up a resistance to at least one type of antibiotic and often have the ability to spread readily throughout the environment. These traits contribute to the increasing number of patients that acquire superbugs. In just one example, a recent study showed the number of people diagnosed with community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) rose from 24 cases per 100,000 people in 2000 to 164 per 100,000 in 2005.