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Lateral service improves hospital employee satisfaction

Lehigh Valley Health Network (Allentown, PA) became interested in the concept of lateral service, or lateral accountability, a way of improving interpersonal and interdepartmental relations, in 2005.  This article describes how the hospital explored the concept, building on the Shea Work Systems Model.  Among the outcomes of attention to this issue has been a drop in RN turnover, down to about 9 percent in 2010. 

Source: Vose, C., and others.  Lateral service to deliver better patient care.  Nurse Leader;10(1):34-38, Feb. 2012.  Click here to access full text: http://www.nurseleader.com/article/PIIS1541461211002928/abstract?rss=yes Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

What factors affect surgical team performance?

This study, based on detailed observation of 10 complex surgical cases at an academic medical center hospital supplemented by interviews of surgeons, anesthesiologists, RNs, techs, and ancillary support personnel, took a look at the team dynamics in the operating room.  Role behaviors were perceived differently by different team members.  The authors were surprised by the degree to which the OR team environment can be characterized as dynamic, requiring team members to be able to make on-the-spot adaptations. 

Source: Leach, L.S., Myrtle, R.C., and, Weaver, F.A.  Surgical teams: role perspectives and role dynamics in the operating room.  Health Services Management Research;24:81-90, 2011.  Click here for more on this article: http://hsmr.rsmjournals.com/content/24/2/81.abstract  Posted by AHA Resource Center, (312) 422-2050, rc@aha.org