Editor's Note Findings from The ARRC II study show using advanced recovery room care (ARRC) for medium-risk surgical patients significantly reduces 18-month postoperative mortality compared to standard ward care. As detailed in a December 11 research letter in JAMA Surgery, this benefit appears linked to minimizing early postoperative complications, which…

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Editor's Note Older cancer patients undergoing major abdominal procedures at Roger Williams Medical Center in Providence, Rhode Island, significantly benefitted from the American College of Surgeons (ACS) Geriatric Surgery Verification (GSV) program, Medical Xpress reported December 10. Citing a study published in the Journal of the American College of Surgeons,…

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Editor's Note We’ve raised the bar—for the first time in 13 years, the OR Business Management Conference will feature a dedicated lineup of content specifically for ambulatory surgery center (ASC) leaders. Join an intimate gathering of ASC administrators, directors, and C-suite executives to dig deeper into financial, operational, and strategic…

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Editor's Note Using virtual reality glasses (VR-G) to watch immersive 360-degree nature videos significantly reduces preoperative surgical fear in patients undergoing open-heart surgery, according to a randomized controlled study published November 29 in the Journal of Perianesthesia Nursing. However, anxiety levels were not markedly affected, suggesting targeted efficacy in fear…

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Editor's Note The American Society of Anesthesiologists (ASA) commended Anthem's reversal of a policy to deny anesthesia payment based on arbitrary time limits, which was set for February 2025 in three states. “The now-rescinded policy was inconsistent with prevailing standards, regulations and billing norms, and revealed a diminished dedication to…

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Editor's Note Healthcare employment in the US rose by 54,000 from October to November, according to the latest report from the Bureau of Labor Statistics (BLS), released December 6, a figure “in line” with the average monthly gain of 59,000 over the prior 12 months.  Total nonfarm employment rose by…

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Editor's Note A quality improvement protocol at the University of Colorado Anschutz Medical campus resulted in a 48.8% decrease in the number of pediatric urology patients returning to the emergency department (ED) unnecessarily within 30 days of surgery. According to a December 2 university report, the initiative has significantly reduced…

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Editor's Note The American Medical Association (AMA) expressed “strong opposition” to a proposed regulation in Washington, DC, that would allow certified registered nurse anesthetists (CRNAs) to use the title “nurse anesthesiologist.” As detailed in a December 2 announcement, a letter to the DC Department of Health from AMA CEO James…

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Editor's Note A study analyzing data from the National Database of Nursing Quality Indicators (NDNQI) revealed that nursing-sensitive quality indicators (NSIs) worsened during the COVID-19 pandemic and remain elevated years after the onset of the pandemic, reflecting ongoing challenges in nursing practice. Published in the journal Nursing Research, the findings…

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Takeaways • The 3A Strategic Thinking Framework and the GOST Framework are examples of tools that can help make the abstract process of strategic thinking more concrete for perioperative leaders. • Carving out dedicated time for planning and fostering strategic thinking in others are important to achieve optimal results. •…

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