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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Conscientious leaders strive for excellence and have high expectations of everyone around them. If you are like me, you may have been told at times to lower your expectations. But I believe if you raise the bar, people worth retaining will meet the bar if they have the support to…

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Editor's Note The psychosocial needs of cancer patients are not being adequately met because of the disruption in services caused by COVID-19, this study from the UK finds. Researchers from six universities surveyed 94 psychosocial oncology professionals and identified a number of concerns, including: The suspension of face-to-face delivery of…

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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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Editor's Note The Department of Health and Human Services (HHS) on July 15 announced that in a move to improve information gathering and resource allocation, hospitals will begin sending their COVID-19 related data directly through HHS Protect or TeleTracking rather than submitting it the Centers for Disease Control & Prevention…

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Editor's Note This investigation, by researchers at the University of California-Davis Medical Center, of the pattern of transmission of COVID-19 during two nosocomial outbreaks finds that close contact between patients and healthcare workers (HCWs) not airborne transmission was the cause of the outbreak. Two separate patients were admitted in February…

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Editor's Note Researchers from Florida Atlantic University’s College of Engineering and Computer Science and Schmidt College of Medicine (all in Boca Raton) announced on June 24 that they have received a 1-year, $90,000 National Science Foundation RAPID project grant to design a COVID-19 knowledge base and risk assessment tool powered…

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Editor's Note A regional, coalition-guided, multifaceted approach that engaged healthcare systems, long-term care facilities, state and local governments, and organizations to rapidly respond to the COVID-19 outbreak, kept Washington State’s death rate the lowest of all states with major outbreaks, this study finds. Six key factors helped “flatten the curve:”…

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Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…

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Hospitals nationwide have thousands of unique instrument trays that take up valuable space on their shelves. Many trays are cluttered with rarely used instruments that are there “just in case.” The problem can be particularly acute in large health systems. Across Cleveland Clinic’s multiple locations in northeast Ohio, for example,…

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