Beginning in 2005, the aorn foundation and Safer Healthcare implemented a human factors program based on Crew Resource Management training in five diverse surgical facilities across the United States. Highly interactive, customized training sessions were designed to help clinicians standardize communication, enhance teamwork, implement preprocedure briefings and postprocedure debriefings, maintain situational awareness, and recognize red flags in the workplace. Pretraining and post-training surveys were used to determine the effectiveness of the program. Brief overviews from the participating facilities detail specific issues encountered in each setting.
Rising health care costs coupled with an inability to determine what constitutes value in the delivery of health care services lead a group of Cincinnati health care purchasers to seek answers and solutions. The formation of a collaborative effort that includes both purchasers and providers is producing profound changes in the Cincinnati health care market. After one year in operation, data show a significant overall decrease in length of stay, a return to single-digit inflation, and intriguing changes in provider practice patterns.
Rising health care costs coupled with an inability to determine what constitutes value in the delivery of health care services lead a group of Cincinnati health care purchasers to seek answers and solutions. The formation of a collaborative effort that includes both purchasers and providers is producing profound changes in the Cincinnati health care market. After one year in operation, data show a significant overall decrease in length of stay, a return to single-digit inflation, and intriguing changes in provider practice patterns.
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