Sure it seems like a never ending cycle of cutbacks, reductions and expectations to do more with less. Some hospitals reach the breaking point sooner because they have been more efficient to begin with. Eventually even the over-staffed facilities will feel the challenge to keep up.

Patient satisfaction scores are one measure of performance. While it is important to listen to the customer we must first measure our staff performance ourselves. When rounding do you take the time to observe how your staff are cleaning, and offer tips, suggestions and training on the spot?

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