Perioperative Leadership

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February 2025
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Changes in ASC ownership: A look at the influencing factors

Editor's Note As aging ambulatory surgery center (ASC) physician-owners retire, many ASCs are struggling with succession plans, Outpatient Surgery Magazine May 1 reports. Per the article, younger surgeons often lack the capital to establish freestanding ASCs, and with tight margins in the ASC market, a capital infusion is often needed.…

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By: Tarsilla Moura
July 10, 2024
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Healthcare industry groups criticize federal cybersecurity reporting rule

Editor's Note Healthcare industry groups are calling for the federal government to streamline and ease the recently proposed cybersecurity incident reporting rule by the Cybersecurity and Infrastructure Security Agency (CISA), Fierce Healthcare reported July 8. According to the report, CISA's proposal imposes enhanced reporting requirements for critical infrastructure entities, including…

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By: Matt Danford
July 9, 2024
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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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Standardized handoff protocol improves OR communication

Editor's Note Findings published in the Journal of the American College of Surgeons show how a standardized handoff protocol can improve OR communication and reduce the risk of error, Medical Xpress reported on June 19. The study focused specifically on SHRIMPS, a standardized handoff protocol developed by the quality improvement…

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By: Matt Danford
June 28, 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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Leadership survey: Operational demands overwhelming hospitals

Editor's Note Nearly half of hospital executives report that their hospitals are not fully prepared to cope with patient volumes, Becker’s Hospital Review reported June 13. Citing the June 12 Hospital Operations Outlook Survey from FTI Consulting, Becker’s reports that nursing and mental and behavior health specialists represent the greatest…

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By: Matt Danford
June 25, 2024
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Editorial: Are you a perioperative nurse or an OR nurse?

For me, the answer is easy. For 25 years I have consistently said, “I’ve never nursed an OR a day in my life; it’s always been the patients.” As perioperative nurses, what we do is about more than where we work. Why is it that 25 years after the Association…

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By: Ruth Plotkin Shumaker, BSN, RN, CNOR
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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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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