It's a boy!

My wife and I are the proud parents of a healthy baby boy, born this morning at 8:29. Mom is recovering well.

Unlike during our pre-op visit yesterday, I was very impressed today with the teamwork, coordination, and efficiency. Since we had our last child they have re-engineered the process here. Now scheduled C-sections are performed in a general OR on another floor, rather than in the Labor and Delivery area. That way they don't have the problem of stat C-sections disrupting the timing of scheduled ones, and they are able to handle increased volume without building a new OR that's only for C-sections.

I also noticed 2 PowerPoint slides mounted on the wall in the OR. The first was a pre-op checklist, which included making sure the team was working with the same mental model, encouraging cross-checking, encouraging the whole team to be vocal, and discouraging perfectionism. There was also a post-op list asking the team to debrief about what went well, what could have gone better, etc. I'm not sure our team bothered with that.

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Nurse staffing ratios revisited

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More care is not necessarily better care