Advocating for Safer Surgery- Principle #2: Staff Retention

It’s hard to overstate the importance of trust and confidence in the operating room when so much is on the line. The surgeon needs to know that every member of the OR team is experienced and reliable. This is especially true of the surgical assistant, who serves as an extension of the physician before, during, and after the procedure. In addition to providing exceptional clinical skills, a valuable surgical assistant (SA) understands the surgeon’s preferences and enables a rhythm and a shorthand that promote successful patient outcomes and surgeon satisfaction.

There’s good reason why I don’t roof my own house or fly my own plane. I rely on others for their specialized skills, experience, and economies of scale—knowledgeable people focused on specific activities that ensure quality and safety, keep costs in check, and know the codes and regulations that must be followed. Today, more than ever, we rely on specialization to get things done. Healthcare is no different. In fact, healthcare may be one of our best examples of an industry that can benefit significantly from specialized teams.

A complex system offers a lot of places to hide bad behavior. Medicare and Medicaid—programs at the heart of the current healthcare debate—are particularly vulnerable to violations of Stark Law, the Anti-Kickback Statute, and the False Claims Act. Nearly every day, the Office of Inspector General (OIG) issues details of individuals and hospitals being charged or convicted of healthcare fraud and abuse. Financial penalties and the possibility of imprisonment aside, damning headlines can destroy the bottom line and reputation of even the most respected providers. Compliance violations drive up healthcare costs and compromise patients who are overcharged or subjected to unnecessary tests and treatments.