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Tag: OR

The Environment May Have Recognized You but You Didn’t Recognize It

By Michael G. Galvez, MD We must consider the environment in our field of hand and upper extremity. Why? Believing that the United States has unlimited resources is a contributing factor to why our healthcare system is broken. A broken healthcare system that prioritizes patients with health insurance results in delayed care for many patients. […]

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We Can and Should

By Ioannis P. Pappou, MD, PhD The answer to the former question is simple: Yes, there is a place for conservation and the effort needs to be increased significantly. The answer to the latter question is more complicated. We live in a wasteful era and the American society does not prioritize the environment. Unfortunately, we […]

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WALANT and Conservation

By Rey N. Ramirez, MD It is impossible to miss the amount of trash generated in the hospital. Single-use, individually wrapped items are ubiquitous. I find it most noticeable at the end of a carpal tunnel release. Even this simple procedure typically generates a full bag of trash. I believe that one way to practice […]

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Global Conservation

By Cary Tanner, MD Dr. Lutsky posed the above question for consideration in ASSH Perspectives. Anyone can correct me if I am wrong, but I propose that the best model for conservation is one in which the human spirit is unfettered with regulation, government survey standards, the specter of liability, and where financial support is […]

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Lean and Green Hand Surgery: What Can You Do?

By Robert E. Van Demark, Jr., MD It is estimated that the US healthcare system generates 4 billion tons of waste annually (6600 tons per day). Hospital operating rooms account for approximately 25-35 % of all hospital waste and are responsible for nearly 56% of total hospital costs. Orthopedic surgery is one of the largest […]

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If You Don’t Open It, You Can’t Throw It Away

By Jeffrey C. Wint, MD As surgeons we all too well know how our patient’s individual health history and status affects results. Even a perfect operation, in the most technically skilled hands, is no match for the poor general health of a patient. Similarly, the environment plays a distinct role on our patient’s health. Lack […]

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Patient Safety Scenario #10: Communication Culture

This essay is the tenth installment of the monthly Patient Safety essays, produced by the Patient Safety Subcommittee of the Ethics and Professionalism Committee. The essays are written in the spirit of the aviation industry’s “Black Box Thinking” in order to inform and improve our medical safety record. To read earlier essays and learn how […]

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An Atmosphere Of Comfort

By Glen Jacob, MD The people are the main reason why my operating room is special. The atmosphere generated by those that work there is simply one of comfort, which only promotes an environment conducive to trying to help make patients better. Many patients comment on their experience, and often site that I am fortunate to […]

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OR And Martial Arts, “Budo”

By Takuro Wada, MD I left the University Hospital after four years and become a president of the affiliated hospital. I am occupied by business meetings inside and outside of the hospital. I need to care about clinical outcomes and financial performance not only of hand surgery and orthopaedics, but also the whole hospital — as […]

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