Safety/Quality

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January 2025
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Flexibility for clinicians in managing RAS inhibitors in noncardiac surgery

Editor's Note A new study, the Stop-or-Not Trial, has found no significant difference in outcomes for patients undergoing noncardiac surgery who either continued or discontinued their renin-angiotensin system (RAS) inhibitor therapy, MedPage Today August 31 reports. The randomized clinical trial, which included over 2,200 patients, reported the rate of death…

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By: Tarsilla Moura
September 3, 2024
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Study: Women face higher mortality risk than men for postop atrial fibrillation after cardiac surgery

Editor's Note A recent study from two tertiary care centers highlighted significant sex differences in long-term outcomes after cardiac surgery, especially concerning postoperative atrial fibrillation (postopAF), MedPage August 21 reports. The study, published in JAMA Network, found that while women were less likely than men to develop postopAF following a…

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By: Tarsilla Moura
August 30, 2024
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Study: Nearly 10% of patients on prescription opioids develop dependency or disorder

Editor's Note Research reveals nearly 10% of patients treated with prescription opioid painkillers develop opioid dependency or opioid use disorder (OUD), Healio reported on August 13. Additionally, nearly 30% of patients exhibit signs and symptoms indicating potential OUD. Originally published in the journal Addiction, the data are from a systematic…

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By: Matt Danford
August 30, 2024
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Origami-inspired brain implants hold promise for Epilepsy surgery

Editor's Note Human trials may begin soon on patients in the UK using tiny, folding brain implants that could improve epilepsy surgery, according to an article published August 12 in The Telegraph. Developed by scientists at Oxford and Cambridge, who published their research in the journal Nature Communications, the implants…

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By: Matt Danford
August 29, 2024
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Anesthesia workforce challenges taking center stage

Every year, OR Manager shines a light on staffing issues via the Salary/Career Survey. In this issue, two articles take a careful look at the career and profile of the perioperative leader in both inpatient and outpatient settings. Next month, two more articles will do the same with salary trends…

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By: Tarsilla Moura
August 28, 2024
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Survey: Staffing woes ease slightly, but challenges remain

Data and surveys

Takeaways • Surgical volume continues to increase for most organizations. • Staffing remains a challenge, although some parameters, such as recruiting and turnover, have improved slightly. • Filling an open RN position takes an average of 77 days, and filling a surgical technologist position takes an average of 120 days.…

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By: Cynthia Saver, MS, RN
August 28, 2024
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Water quality: 5 Ws and an H for sterile processing pros

Asking who, what, why, when, where, and how—otherwise known as the “5 Ws and an H”— is a time-tested way for writers and researchers to ensure comprehensive coverage of any topic. Here, we apply this framework from the perspective of sterile processing department (SPD) professionals seeking to start a water…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
August 28, 2024
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Staffing solutions depend on collaborative, innovative culture

There is no shortage of advice, opinions, and proposed solutions when it comes to staff shortages, but the issue continues to plague healthcare systems nonetheless. For a couple of years now, speakers at the OR Business Management Conference and OR Manager Conference have been asking attendees, “Who still struggles to…

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By: Tarsilla Moura
August 28, 2024
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How perioperative staff can combat human trafficking—Part 1

Human trafficking (HT) is a global public health crisis and one of the fastest growing criminal enterprises that grosses hundreds of billions of dollars annually, all of which are tax-free profits made off the sale of human cargo. And yet, research shows the problem is poorly understood or recognized among…

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By: Francine Bono-Neri, PhD, RN, APRN, PNP
August 28, 2024
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Pilot project takeoff proves promise of AI staff optimization

Perioperative leaders face mounting pressures to optimize resources, reduce costs, and improve patient outcomes. However, one challenge stands out among the rest: OR staffing shortages. According to a November/December survey conducted by LeanTaaS in collaboration with OR Manager, staff recruitment and retention is a top priority for OR leaders this…

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By: Stacey Leadbeater
August 28, 2024
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