Surgery

Latest Issue of OR Manager
February 2025

Efficacy of povidone-iodine nasal antiseptic for rapid inactivation of SARS-CoV-2

Editor's Note This controlled, in-vitro study investigates the minimum contact time for povidone-iodine nasal antiseptic to inactivate the SARS-CoV-2 virus. All laboratory work was conducted in biosafety level 3 laboratories at the Institute for Antiviral Research at Utah State University, Logan. Povidone-iodine was tested at diluted concentrations of 0.5%, 1.25%,…

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By: Judy Mathias
September 21, 2020
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What does it take to become an ERAS hospital?

Leaders at Virginia Commonwealth University (VCU) Health System in Richmond started the journey to become an Enhanced Recovery After Surgery (ERAS) hospital in 2016 with the following problem statement: Across surgical specialties, and regardless of superior surgical technique, perioperative care, and anesthesia care, patients can experience extended length of hospital…

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By: Paula Spencer, MSHA, PMP, CPHIMS
August 21, 2020
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ECRI Institute, ISMP launch new Patient Safety Organization

Editor's Note In an August 17 news release, the ECRI Institute and its affiliate, the Institute for Safe Medication Practices (ISMP), announced that they had launched a new Patient Safety Organization (PSO). The PSO is an important step in making medication, medical devices, and healthcare practices safer for patients across…

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By: Judy Mathias
August 18, 2020
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Joint statement provides guidance for maintaining essential surgery during COVID-19 pandemic

Editor's Note Four national organizations have released a joint statement on maintaining essential surgical procedures as the COVID-19 pandemic continues, the American College of Surgeons (ACS) reported on August 13. The joint statement from the ACS, American Society of Anesthesiologists, AORN, and American Hospital Association, provides a list of principles…

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By: Judy Mathias
August 13, 2020
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Delays in breast cancer surgery because of COVID-19 do not appear to be life-threatening

Editor's Note A longer time from diagnosis to surgical treatment because of the COVID-19 pandemic did not lower overall survival of women with early-stage breast cancer, this study finds. In this analysis of 379,000 patients, surgical delays of more than 120 days were associated with change to a higher cancer…

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By: Judy Mathias
August 10, 2020
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ACS opposes proposed Medicare physician fee schedule

Editor's Note The American College of Surgeons (ACS) on August 4 announced that it is strongly opposed to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule proposed rule for CY 2021. In the fee schedule, which is set to take place January 1, 2021, Medicare payments will…

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By: Judy Mathias
August 6, 2020
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Nimble response required to combat COVID-19 surges

Spikes in coronavirus cases starting in late June threatened to overwhelm hospitals in several states. Utah is one such state, but steps previously taken at Intermountain Healthcare in Salt Lake City suggest the 23-hospital system will be able to manage a surge. Leaders at Inova Health System in Falls Church,…

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By: Elizabeth Wood
July 22, 2020
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Editorial

Healthcare facilities in recent months have been catching up on case backlogs caused by the COVID-19 pandemic. But new infection surges in several states have overwhelmed some hospitals, leading to renewed bans on elective procedures in Texas and Florida as of early July. The higher rates of infection are attributable…

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By: Elizabeth Wood
July 22, 2020
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Culture, communication, and clinical skills essential for ERAS success

Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery (ERAS) program can help achieve these aims in the surgical population. ERAS pathways have been found to reduce morbidity, hospital stay,…

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By: OR Manager
July 22, 2020
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Monitoring implant contracts can save millions of dollars

Orthopedic implants comprise a significant percentage of an OR’s costs, so effectively managing contracts for these items can help OR leaders in hospitals and ambulatory surgery centers (ASCs) bolster the bottom lines of their organizations. “The contract is your best mechanism to control the influx of non-anticipated items, resolve overcharges,…

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By: Cynthia Saver, MS, RN
July 22, 2020
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