Regulations/Legal

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February 2025
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Reproductive hazards for female surgeons in the OR

Editor's Note Reproductive hazards are present in the OR and may contribute to pregnancy complications and infertility in female surgeons, this review finds. Hazards include radiation, surgical smoke, working conditions, sharps injuries, anesthetic gases, and intraoperative use of toxic agents. Studies comparing female surgeons with the general population show increased…

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By: Judy Mathias
January 14, 2020
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Recycling program evolves to sustain gains in waste reduction

Approximately 5.9 million tons of waste annually comes from the healthcare industry, and one-third of that waste comes directly from the OR. Each year, an increasing number of disposable products are used in the OR. To address this dilemma, an OR recycling performance improvement committee was formed at Massachusetts General…

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By: Judith M. Mathias, MA, RN
January 13, 2020
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First-year analysis of OR Black Box study

Editor's Note In this first-year analysis of a data capture system called the OR Black Box, frequent intraoperative errors, events, variation in surgeons’ technical skills, and a high amount of environmental distractions were identified. In 132 patients having elective laparoscopic general surgery: auditory distractions occurred a median of 138 times…

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By: Judy Mathias
January 2, 2020
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House passes year-end bill that repeals ACA taxes including medical device tax

Editor's Note The US House of Representatives on December 17 passed a year-end spending bill that repeals several Affordable Care Act (ACA) taxes, including the 40% tax on generous health insurance plans and the 2.3% tax on the sale of medical devices, the December 17 Reuters reports. The bill also…

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By: Judy Mathias
December 18, 2019
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FDA: Class I recall of Cook Medical’s CrossCath Support Catheters

Editor's Note The Food and Drug Administration (FDA) on December 17 identified the recall by Cook Medical of its CrossCath Support Catheters as Class I, the most serious. The recall was initiated because of a manufacturing error that may cause the radiopaque marker bands on the catheters to dislodge or…

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By: Judy Mathias
December 18, 2019
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Development of surgery-specific second victim peer support program

Editor's Note In this study, researchers at the Massachusetts General Hospital, designed, implemented, and assessed the effect of the first surgery-specific peer support program in the US. The program uses five steps: creation of a conceptual framework choice of peer supporters training of peer supporters multifaceted identification of major adverse…

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By: Judy Mathias
December 17, 2019
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CMS expects greater scrutiny from Joint Commission surveyors

[This article from the January 2020 issue of OR Manager summarizes information presented at the 2019 OR Manager Conference. The presenter offered tips to help attendees comply with Joint Commission standards and achieve a successful Joint Commission survey. Readers are asked to note the following points of clarification: The presentation…

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By: OR Manager
December 17, 2019
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To avoid penalties, know the rules for quality reporting

Keeping up with Medicare’s regulatory and reporting requirements for ambulatory surgery centers (ASCs) can be as difficult as ensuring physicians arrive to start their cases on time. “Regulations can change frequently,” says Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs for the Ambulatory Surgery Center Association…

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By: OR Manager
December 17, 2019
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Joint Commission transitioning to CMIP data submission app

Editor's Note The Joint Commission announced December 11 that starting January 1, 2020, it will no longer have contracts with ORYX chart-based vendors for accreditation or certification purposes. Hospitals with advanced certification programs must manually enter their performance measure data into the Certification Measure Information Process (CMIP) app on their…

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By: Judy Mathias
December 12, 2019
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Joint Commission surveys based on version of USP 797 chapter adopted

Editor's Note The Joint Commission announced December 11 that during the appeals process of he United States Pharmacopeia (USP) 797 chapter revisions, it will evaluate organizations based on the version they have adopted−either 2008 or the 2019 revised chapter. Organizations may not independently choose specific components from both versions, but…

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By: Judy Mathias
December 12, 2019
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