Enhanced Recovery After Surgery (ERAS) represents a transformative approach in modern surgical care, emphasizing evidence-based, multidisciplinary protocols to optimize patient recovery. Spanning decades, ERAS has grown from a novel concept into a global standard for perioperative care, with benefits that include shorter hospital stays, fewer complications, and reduced healthcare costs.…

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Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open.   Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…

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Editor's Note Using phenylephrine as an intraoperative vasopressor could lead to higher risk of postoperative delirium compared to ephedrine, according to findings published in the April issue of Anesthesiology. Posted online last September, these findings confirm researchers’ original hypothesis. “The treatment of intraoperative hypotension with phenylephrine may impair cerebral perfusion…

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Editor's Note A study from the Joint Commission found that more than 25 percent of hospitals have not adopted any of the four policies identified by the organization as best-practice, evidence-based discharge practices for preventing suicide in at-risk patients.   According to a March 12 report on the implementation gap…

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Editor's Note Patient engagement technologies (PETs) reduced length of stay (LOS), complication rates, and readmission rates among patients in a study published February 16 in the American Journal of Surgery. The retrospective cohort study consisted of more than 400 patients undergoing elective colorectal surgery from 2018 to 2022. Approximately 9…

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Editor's Note Although few strategies for reducing readmission rates leverage nurse input, nurses are well-placed to identify patients most at risk, according to a study published in the March issue of the journal Medical Care. The authors note that older Medicare beneficiaries with multiple chronic conditions (MCCs) continue to experience…

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Editor's Note In this study from the University of California, San Diego, La Jolla, researchers developed a machine learning model that improved the ability to predict surgery end times and PACU discharge at a range of start times in an ambulatory surgery center (ASC). Of 13,447 surgical procedures analyzed, the…

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Editor's Note The Mayo Clinic, Rochester, Minnesota, is giving surgical patients an option to recover outside the hospital with comforts of home and with immediate access to a care team if needed. The Mayo Clinic program, called “Monitoring at Charter House,” allows physicians to arrange for US and international patients…

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Editor's Note This study from Washington University School of Medicine, St Louis, finds that a multicomponent safety intervention, consisting of patient education, home medication review, and hazard identification in the home environment, was not associated with reductions in falls during the first year after an elective inpatient surgical procedure, but…

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Editor's Note In this survey by the American Nurses Foundation, published March 1, 63% of nurses younger than 35 years said they intend to leave or are considering leaving the profession. A total of 12,694 nurses were surveyed. Other findings for nurses under 35 years of age, include: 46% said…

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