Surgery

Latest Issue of OR Manager
February 2025

Mid-term postop outcomes in patients with, without COVID-19

Editor's Note This study from the University of Maryland School of Medicine and Veterans Affairs Medical Center, Baltimore, finds that COVID-19 is associated with decreased overall and complication-free survival, primarily in the early postoperative period. Of 153,741 surgical patients analyzed between March 2020 and 2021, 4,778 COVID-19-positive patients were matched…

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By: Judy Mathias
May 12, 2023
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Survey: Financial well-being of surgical residents

Editor's Note Poor personal financial health has been linked to well-being, including burnout, substance abuse, and worsening personal relationships. This secondary analysis of a survey led by the Yale School of Medicine, New Haven, Connecticut examines the financial well-being of surgical residents in New England. A total of 250 surgical…

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By: Judy Mathias
May 11, 2023
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SHEA: New SSI guidance recommends antibiotics be discontinued after incision is closed

Editor's Note This update to the 2014 "Strategies to Prevent Surgical Site Infections in Acute Care Hospitals" recommends that antibiotics be discontinued after a patient’s incision has been closed in the OR, even if drains are present. The expert panel members writing the update add that continuing antibiotics after closure…

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By: Judy Mathias
May 4, 2023
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Leapfrog: HAIs increased during COVID-19 pandemic

Editor's Note The Leapfrog Group, on May 3, announced that its new Hospital Safety Grade shows a significant increase in healthcare-associated infections (HAIs) during the COVID-19 pandemic, spiking to a 5-year high and remaining high. Their analysis found that the average: Central line-associated bloodstream infection (CLABSI) ratio increased 60% Methicillin-resistant…

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By: Judy Mathias
May 3, 2023
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New American Cancer Society report finds favorable, unfavorable trends during COVID-19

Editor's Note The American Cancer Society, on May 2, announced new research that discovered both favorable and unfavorable changes in major cancer risk factors, preventive behaviors and services, and screenings during the COVID-19 pandemic. On the favorable side, smoking, physical inactivity, and heavy alcohol consumption declined, and human papillomavirus vaccination…

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By: Judy Mathias
May 3, 2023
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Rest break practices of 12-hour shift nurses

Editor's Note This study led by nurse researchers at the University of Tennessee, Knoxville, finds that rest break practices of 12-hour shift nurses are of poor quality. Survey data from 806 nurses were analyzed. Key findings include: Most nurses did not take regular rest breaks. Breaks were often interrupted, spent…

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By: Judy Mathias
April 27, 2023
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VAD implant requirement reinstated

Editor's Note The Joint Commission, on April 26, announced that the Centers for Medicare & Medicaid Services (CMS) requirement to count the volume of ventricular assist device (VAD) implants by surgeons will be reinstated on May 11. CMS stopped this requirement during the COVID-19 public health emergency.

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By: Judy Mathias
April 27, 2023
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Closed claims analysis identifies wrong-site surgery risks

Editor's Note This study, published in The Joint Commission Journal on Quality and Patient Safety, analyzes 68 closed claims cases on wrong-site surgery from 2013 to 2020. The services most frequently responsible for these cases were: Orthopedics (35.3%) Neurosurgery (22.1%) Urology (8.8%). The most common types of procedures involving wrong-site…

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By: Judy Mathias
April 26, 2023
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AAAHC updates Certification Handbook for Advanced Orthopaedics

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC), on April 10, announced the release of updated standards for its 3-year Advanced Orthopaedic Certification program, which will take effect July 1, 2023. The updated Certification Handbook for Advanced Orthopaedics, v42, introduces new terminology and standards architecture plus a revised…

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By: Judy Mathias
April 26, 2023
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ACS: COVID-19 will disrupt cancer reporting for years

Editor's Note New research from the American College of Surgeons and American Cancer Society describes ways the National Cancer Database (NCDB) was impacted by the COVID-19 pandemic. For the study, researchers reviewed 4,045,097 cancer cases of adults 18 years or older who were diagnosed with cancer and/or received their first-course…

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By: Judy Mathias
April 25, 2023
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