Ambulatory Surgery

Latest Issue of OR Manager
January 2025
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US healthcare spending growth expected to outpace overall economic growth

Editor's Note Expected to grow at an average annual rate of 5.6%, US healthcare spending will outpace GDP growth—projected at 4.3%--and rise to $7.7 trillion by 2032, according to a June 28 report in ASC focus. The $7.7 trillion figure amounts to 19.7% of GDP. The report is sourced from…

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By: Matt Danford
July 8, 2024
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New research shows health risks of smoke exposure in gastrointestinal endoscopy

Editor's Note Research presented at this year’s Digestive Disease Week in May highlights the potential health risks posed by smoke generated during tissue-cutting ablations in gastrointestinal (GI) endoscopy, Gastroenterology & Endoscopy News May 18 reports. Unlike surgeons in ORs, who follow specific regulations to mitigate smoke exposure, GI endoscopy procedures…

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By: Tarsilla Moura
July 3, 2024
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New requirements for ASCs on life safety, patient rights effective August

Editor's Note Starting August 1, ambulatory surgical centers (ASCs) will need to comply with new and revised requirements for Life Safety Code® and patient rights, a June 26 news update from The Joint Commission reports. These updates align with the Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage.…

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By: Tarsilla Moura
July 3, 2024
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Reassessing colonoscopy surveillance: Early- vs average-onset colorectal cancer

Editor's Note Early-onset colorectal cancer (EO-CRC), diagnosed before age 50, is increasing in incidence worldwide. Despite existing postoperative colonoscopy surveillance strategies, the optimal intervals for EO-CRC patients are unclear due to limited long-term data. This study, titled “Early-onset Colorectal Cancer Patients Do Not Require Shorter Intervals for Post-surgical Surveillance Colonoscopy”…

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By: Tarsilla Moura
June 26, 2024
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Breaking down the anesthesia workforce imbalance, strategies to address crisis

Editor's Note Increased demand for anesthesia services, especially in non-operating room (non-OR) sites, has outpaced the growth of anesthesia clinicians, a June 2024 special article published by the journal Anesthesiology reports. The imbalance in the anesthesia workforce supply and demand, the article argues, was exacerbated by the COVID-19 pandemic and…

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By: Tarsilla Moura
June 26, 2024
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Scaling standards from sterile processing department to clinic

Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL and Vanessa Frank, CRCST, CHL, CER, CIS
June 24, 2024
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State of the huddle: The barriers to and benefits of preop meetings

Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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By: Maya Ber-Lerner
June 24, 2024
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The rise of AI in radiology—and what the future holds

When it comes to the adoption of artificial intelligence (AI) in medicine, radiology is leading the charge. As of May 13, 2024, the US Food and Drug Administration (FDA) had approved nearly 900 AI- and machine learning (ML)-enabled devices, and the vast majority of them are in radiology. One example…

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By: Brita Belli
June 24, 2024
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Ambulatory endoscopy management strategies keep patients, finances healthy

Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…

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By: Cynthia Saver, MS, RN
June 24, 2024
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Rural hospitals contend with challenging opportunities

Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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By: David C. Walsh
June 24, 2024
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