Countdown to OR Manager Conference: Implementation of a training program in an ASC
Editor's Note At last year’s OR Manager Conference, Kelly Kapp, RN, CNOR, CNAMB, clinical education director at SCA Health, discussed the successful development and implementation of the Perioperative 101 (Periop 101) training program for nurses at SCA facilities. The initiative had the goal of mitigating the nursing shortage while improving…
FDA approves single-dose propofol amid drug shortage
Editor's Note The Food and Drug Administration (FDA) approved Amneal Pharmaceuticals' Abbreviated New Drug Application for single-dose vials of propofol injectable emulsion, Anesthesiology News August 23 reports. The newly approved formulations include 200 mg/20 mL, 500 mg/50 mL, and 1,000 mg/100 mL vials. Propofol is widely used for anesthesia and…
UnitedHealth Group explores acquisition of Surgery Partners amidst antitrust scrutiny
Editor's Note UnitedHealth Group (UHG) is in early talks to potentially acquire Surgery Partners, the third-largest operator of ambulatory surgical centers (ASCs) in the US, according to Bloomberg, Healthcare Finance August 26 reports. Surgery Partners has also attracted interest from private equity firms, including TPG Inc. While no deal is…
Bleeding risk should dictate strategy for managing patients on direct oral anticoagulants
Editor's Note Clinicians managing surgical patients on direct oral anticoagulants (DOACs) should adopt a different approach depending on the procedure, according to research published August 12 in JAMA Network. Used to treat patients with atrial fibrillation and venous thromboembolism, DOACs must be managed effectively to minimize risks of bleeding, researchers…
S&P report: Nonprofit hospital downgrades outpaced upgrades in 2023
Editor's Note An S&P report published on August 7 revealed that downgrades of nonprofit hospital ratings outpaced upgrades in 2023, a trend expected to persist despite a slowing pace, Becker’s Hospital CFO Report August 12 reports. The report, which analyzed nonprofit acute healthcare medians, showed a downgrade-to-upgrade ratio of 3.8…
Study shows decline in infections, antibiotic resistance at VA medical centers
Editor's Note A 13-year study at US Veterans Affairs (VA) medical centers found a decline in both hospital-associated infections (HAIs) and antimicrobial resistance for common pathogens, MedPage Today August 15 reports. From 2007 to 2019, the overall infection rate of nine pathogens decreased, with an average annual percentage change (AAPC)…
Some FDA-recalled medical devices remain in use while manufacturers implement corrections
Editor's Note A 2016 recall issued for the Abbott MitraClip cardiac device highlighted potential safety concerns, but instead of removing the product from the market, Abbott and the Food and Drug Administration (FDA) allowed continued use with revised instructions and additional training for doctors. This approach reflects a broader trend…
International study highlights OR waste management strategies, barriers
Editor's Note Effective waste segregation and adopting a circular economy approach can significantly reduce environmental impact of incinerating hospital waste incorrectly classified as hazardous, according to a narrative review published August 19 in the Medical Journal of Australia. However, surgeons' concerns about patient safety and insufficient systemic policies can hinder…
‘Surgical pause’ saving lives, expanding beyond VA hospitals
Editor's Note The “surgical pause”—a means of validating whether surgery is truly safe for patients deemed to be “frail” before starting a procedure—significantly reduces mortality rates and is changing practices at more than 50 Veterans Administration (VA) hospitals, the Pittsburgh Post-Gazette reported August 18. Developed by VA surgeons Daniel Hall…
Large analysis contradicts findings on surgeon gender, patient outcomes
Editor's Note Contradicting previous research suggesting potentially improved surgical outcomes for female surgeons, the largest analysis to date finds that gender has only a small statistical, clinically marginal correlation. Appearing in the September issue of Annals of Surgery, the study involved 4,882,784 patients operated on by 11,955 female surgeons (33%…