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…

Read More

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…

Read More

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…

Read More

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.…

Read More

Personal health and well-being have become higher priorities during the COVID-19 pandemic. Some people who previously may have ignored preventive care or postponed procedures are taking better care of themselves. Some are reexamining life choices as a result of changes taking place over the past year. “Many of us accept…

Read More

Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…

Read More

Editor's Note The findings of this study from the Southern California Permanente Medical Group, Irvine, suggest that there is a high prevalence of microaggressions that stigmatize female and racial/ethnic-minority surgeons and anesthesiologists and contribute to unhealthy surgical workplaces and physician burnout. Of 588 (259 female, 329 male) respondents to a…

Read More

Editor's Note The Joint Commission, on March 24, released its sentinel event statistics for 2020, which totaled 794. The top five most frequently reported events were: Falls: 170 Unintended retention of a foreign object: 106 Suicide: 81 Delay in treatment: 76 Wrong-site surgery: 68. The Joint Commission’s Office of Quality…

Read More

Editor's Note In this study from Wayne State University School of Medicine, Detroit, researchers found that surgical masks alone surpassed protection by face shields, and a combination of both was similar to surgical masks alone. Researchers simulated human speaking to examine the transmission of aerosols using blood agar plates (simulating…

Read More

During the COVID-19 pandemic, healthcare workers nationwide have experienced patient deaths on a scale like never before. Whether from COVID-19 or other complications, surgical services staff sometimes lose patients despite their best efforts, and these failures to rescue can leave lasting psychological or emotional scars. Many healthcare facilities have ramped…

Read More