Communication is an underlying theme in several articles in this issue. We examine the concept from many different angles, but a common thread is its impact on safety—for patients and providers alike. In the COVID-19 era, safety has been a chief driver of decision making. Early in 2020, elective surgical…

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Planning ahead isn’t always intuitive in ambulatory surgery centers (ASCs). However, when a business manager or clinical coordinator suddenly falls ill, announces plans to retire, or quits unexpectedly, ASC leaders need to respond nimbly and effectively. Someone has to step in and take over to make a seamless transition without…

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Editor's Note A federal judge has dismissed a lawsuit brought by employees of Houston Methodist who challenged the health system’s COVID-19 vaccination mandate, the June 13 New York Times reports. US District Judge Lynn N. Hughes issued a ruling June 12 that upheld the hospital’s policy and noted that the…

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Editor's Note The University of Maryland Medical System (UMMS) announced on June 9 that it will require COVID-19 vaccinations for all employees, beginning September 1, 2021. UMMS leaders at the manager level and above have until August 1, 2021, to be vaccinated. All UMMS team members and partners, including contractors,…

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Editor's Note Houston Methodist has suspended 178 healthcare workers (HCWs) for not following a hospital policy that requires employees to be vaccinated against COVID-19, the June 7 New York Times reports. After warning employees last month that they had to be vaccinated by June 7 or face suspension, 117 HCWs…

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Editor's Note Overall healthcare employment in the US was up in May to a seasonally adjusted 15,984,200 workers, the Bureau of Labor Statistics reported on June 4. That’s up 22,500 since April. Hospital employment was up 2,900 jobs. The overall unemployment rate fell to 5.8%.

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Editor's Note This study from Vanderbilt University Medical Center (VUMC), Nashville, Tennessee, demonstrates how detailed healthcare workers’ (HCWs’) personal or religious convictions are behind their vaccine avoidance. VUMC requires that all faculty and staff receive the influenza vaccine annually or receive an approved vaccine exemption. All personal and religious exemption…

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First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…

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Unexpected benefits can arise from unexpected circumstances. Relatively new nurse leaders at two different facilities have found this to be true, for different reasons. Both have faced sudden changes that made their jobs more difficult but also gave them opportunities for growth. When the director of ambulatory care at Brigham…

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Editor's Note Overall healthcare employment in the US was down in April to a seasonally adjusted 15,950,300 workers, the Bureau of Labor Statistics reported on May 7. That’s down 4,100 since March. Hospital employment was down 5,800 jobs.  The overall unemployment rate went up to 6.1%.

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