Amendments have been added to the Association for the Advancement of Medical Instrumentation (AAMI) standard ANSI/AAMI ST79, Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. The standard, which is used in healthcare facilities to guide their sterilization processes, is considered a useful resource to promote best…

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Unexpected benefits can arise from unexpected circumstances. Relatively new nurse leaders at two different facilities have found this to be true, for different reasons. Both have faced sudden changes that made their jobs more difficult but also gave them opportunities for growth. When the director of ambulatory care at Brigham…

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A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…

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Editor's Note Opioids prescribed after outpatient surgery are going down, but still do not meet expert recommendations, a new study from Epic Health Research Network finds. The researchers examined the median number of opioid tablets prescribed after outpatient surgical procedures between January 2017 and December 2020. For four orthopedic procedures,…

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Editor's Note Urban hospitals bounced back faster than rural hospitals from surgical caseload decreases caused by the COVID-19 pandemic, finds a new study released May 13 by Caresyntax, a Boston-based developer of surgical intelligence and automation technologies. The study, “The State of Surgery: An Analysis of Surgical Trends During the…

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Editor's Note This study by researchers at Harvard Medical School and Brigham and Women’s Hospital, Boston, finds that disparities in access to orthopedic care persisted as orthopedic surgical patients were shifted to telemedicine during COVID-19. The researchers analyzed nearly 2,000 orthopedic patients receiving care via telemedicine from March to May…

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Editor's Note This review study, led by researchers at the Harbor-University of California, Los Angeles Medical Center, Torrance, finds a significant negative effect of COVID-19 on general surgery residents’ operative experience. This retrospective review of 1,358 resident case logs from 16 general surgery programs in the US finds a 33.5%…

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Editor's Note This study from Cedars-Sinai Medical Center, Los Angeles, finds that intraoperative deaths negatively affect surgical team members, with a considerable number experiencing feelings of anger and depression. Of 120 OR team members completing a survey, 82 (68.3%) said they had prior experience with intraoperative deaths, referencing more than…

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Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…

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Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…

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