Surgery
Editorial
Surveys this past year seem to have proliferated, many of them related to the COVID-19 pandemic. What has worked? What hasn’t? What are the next steps? Resuming surgical procedures after the springtime hiatus has helped regain some lost ground. Even as cases of the virus surged in many parts of…
Think 'outside the blocks' to shore up balance sheets
Editor’s Note: This article from Whitman Partners addresses some ways OR nurse leaders can help their health systems recover from the financial fallout and disruption in normal processes caused by the COVID-19 pandemic. Whitman Partners is a Portland, Oregon-based specialty search firm dedicated to placing directors of surgical services at…
Consider a PSH as a post-pandemic strategy
Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…
Incentive payments push staff to reach productivity goals
Any process improvement project is far more likely to succeed with backing from leadership. The familiar phrase, “the buck stops here,” reflects a mindset that applies to OR managers who take ownership of what happens to their patients and their staffs every day. But what if they could say, “the…
Successful supply chain management in an ASC
With more technologically advanced procedures being performed in ambulatory surgery centers (ASCs), it’s increasingly important to monitor data on supplies and manage physician preferences for particular implants. Physicians don’t always realize that reimbursement is lower for many procedures performed in an ASC than in hospitals, and therefore they may not…
ACS: Effect of COVID-19 on surgical experience of residents, early-career surgeons
Editor's Note An American College of Surgeons survey finds a significant impact of the COVID-19 pandemic on surgical residents and early-career surgeons. Of 1,160 respondents (465 residents, 695 early-career surgeons), 96% reported the pandemic had a negative effect on their clinical experience. About one third reported inadequate access to personal…
COVID-19-related delays for CRC screening causing 11.9% increase in mortality
Editor's Note New research presented October 12 at UEG [United European Gastroenterology] Week Virtual 2020 shows that delays in colorectal cancer (CRC) screening caused by COVID-19 has resulted in significantly increased mortality rates. Researchers at the University of Bologna, Italy, developed a model to forecast the impact of delayed CRC…
Elective cancer surgery in COVID-19-free surgical pathways
Editor's Note This international, multicenter study finds that dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during the pandemic. Researchers from more than 130 countries examined data on 9,171 patients in 55 countries from the start of the pandemic to the middle of April 2020.…
COVID-19 testing of all children before anesthesia saves PPE
Editor's Note Universal COVID-19 testing of children before they have general anesthesia promotes efficient use of personal protective equipment (PPE), finds this study presented October 3 at the Anesthesiology 2020 annual meeting. Overall, 1,033 children who had anesthesia at Children’s Hospital of Philadelphia between March 26 and May 11, 2020,…
Joint Commission revises EC standard for fluoroscopy services
Editor's Note The Joint Commission on September 30 announced a revision to its Environment of Care (EC) standard EC.02.04.03, element of performance (EP) 34, which will take effect January 1, 2021, for ambulatory care organizations, office based surgery practices, hospitals, and critical access hospitals. The Joint Commission has determined that…
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