Hospital Patient Safety

Understanding Joint Commission 360 Standards: What They Mean for SPD Teams (Part 2)

Healthcare teams today are feeling the pressure to move beyond last-minute compliance and instead build processes that work consistently every day. That shift is especially clear in sterile processing departments (SPDs), where the Joint Commission 360 model is redefining what “survey readiness” really means. With patient safety directly tied to instrument quality—and studies consistently…

The Legacy of Dr. G. Duncan Finlay – Episode 6

The Rothman Index, developed by Dr. Michael Rothman and his brother Steven, is a pioneering patient acuity score designed to help clinicians recognize patient deterioration earlier and more clearly. Presented as an easily understood, color-coded graph that updates in real time, the Index displays upward and downward trends in patient condition at a glance—transforming…

The Origin Story of the Rothman Index – Episode 5

Hospitals collect enormous amounts of clinical data, yet preventable patient decline remains a persistent challenge. Over the past two decades, hospitals have invested heavily in early warning scores and rapid response infrastructure, but translating data into timely, meaningful action has proven difficult. As clinicians contend with alert fatigue and increasing documentation burden, a more…

My Mother and the Story of the Genesis of the Rothman Index – Episode 4

Healthcare generates enormous volumes of clinical data, yet making sense of that information in real time remains a challenge. Subtle changes in vitals, labs, and nursing assessments often precede serious events, but when that information is fragmented across the medical record, emerging risks can go unnoticed. The central challenge facing hospitals today is not…

Getting SPD Teams to the Table: Why Sterile Processing Deserves a Central Role in Surgical Planning and Operations

Sterile Processing Departments (SPDs) remain the backbone of safe surgical care, yet across the country, they’re still routinely left out of early decision-making around products, construction, staffing, and case planning. As hospitals juggle tighter margins, higher patient acuity, and growing procedural demands, the consequences of excluding SPD voices become unmistakably real—showing up in daily…

The Silent Foundation of Patient Safety: Why Water Quality Matters in Sterile Processing

In healthcare, patient safety and operational efficiency often depend on invisible systems working perfectly in the background. One of those systems—water quality—has quietly become a defining factor in sterile processing success. With new standards such as AAMI ST108 setting stricter expectations, hospitals, and SPDs (Sterile Processing Departments) are rethinking how they monitor, manage, and measure…

Smarter Sterile Processing Starts with Data—Boosting Efficiency, Cutting Costs, and Improving Patient Care

In a healthcare ecosystem increasingly driven by data, sterile processing departments (SPDs) find themselves at a crossroads—balancing precision and pace, safety and speed. As hospitals look to reduce inefficiencies and protect patient safety, analytics tools are transforming sterile processing from an often overlooked backroom function into a vital, data-enhanced frontline of care. Research shows…

Challenges of Identifying and Reducing Sepsis Mortality – Episode 2

Michael Rothman explores the complexities of sepsis identification and management, highlighting the challenges posed by varying definitions and clinical pathways. He discusses the ineffectiveness of current sepsis screening protocols, which often yield high false-positive rates and fail to reduce mortality meaningfully. The episode concludes by questioning the focus on sepsis-specific initiatives and suggesting that more…

Debunking Sepsis Myths – Episode 1

In the first episode of The Michael Rothman podcast, we address misconceptions about sepsis in healthcare. Although it’s often claimed that sepsis accounts for nearly a third of hospital deaths, many of these deaths are linked to chronic conditions with sepsis as a secondary factor. The frequently cited statistic that delays in treating sepsis increase…

From SPD to OR: AI in Surgery Is Raising the Bar on Patient Safety

Hospitals are facing mounting pressure from staff shortages, rising costs, and increasingly stringent compliance requirements. Surgical suites and sterile processing departments (SPDs) are two of the most resource-intensive areas, yet many still rely on manual processes and fragmented data. According to the American Hospital Association, nearly 1,400 hospitals, or 31 percent of hospitals, reported…

Bridging Gaps in Instrument Tracking: A Global Perspective on SPD Innovation

In healthcare environments where precision and accountability are paramount, sterile processing departments (SPDs) play a critical behind-the-scenes role. As hospitals worldwide embrace technology to close compliance gaps and improve operational transparency, the introduction of patient-centric tracking tools marks a major leap forward. Tying surgical instruments directly to patient records not only strengthens traceability—it reinforces trust…

Inside the SPD Revolution: Robby Miller on Embracing CensisAI²

A healthcare leader with three decades of experience reveals how AI technology is transforming sterile processing operations

Smart Tools, Safer Patients: Dr. Arpita Hazra Talks AI in Healthcare

Hospitals are leveraging machine learning and clinical data to identify safety risks before they harm patients

Tackling Productivity Challenges in Perioperative and SPD: Insights from Brian Dawson

Healthcare operations leaders face critical tradeoffs between OR efficiency and patient safety that demand strategic solutions