Editor's Note Hand and arm surgical procedures can be completed safely in the outpatient setting at a freestanding ambulatory surgery center (ASC), this study finds. In this retrospective review of nearly 29,000 cases performed at a freestanding ASC over an 11-year period, there were 58 adverse events, for an overall…

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Editor's Note A quick, reliable, and cost-effective mobility assessment tool helped to identify older patients at risk for adverse postoperative outcomes in this study. Mobility was assessed with 10 animated video clips of activities. Patients were asked to watch each clip and respond to a series of questions about their…

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Editor's Note In this meta-analysis, organ recipients who had cancer before receiving an organ transplant had higher rates of mortality and new cancers than organ recipients who had not had cancer. Organ recipients with previous cancers had a 1.5 times greater risk of dying from any cause, 3 times higher…

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Editor's Note Readmission after emergency general surgery procedures is common and varies widely depending on patient factors and diagnosis categories, this study finds. Of 177,500 emergency general surgery patients, the overall 30-day readmission rate was 5.91%. Predictors of readmission included Charlson Comorbidity Index score of 2 or greater, leaving against medical…

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Although many healthcare providers are still struggling to implement a value-based payment (VBP) model, everyone knows that the train has left the station and adjustments must be made. Shifting to a VBP system, expanding surgical patient care to “population health,” and developing a new generation of perioperative nurses are among…

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A new tool that assesses postoperative surgical site infection (SSI) risk in spine patients shows promise for improved patient care. Research on the tool, developed by a nurse, is still ongoing, but early results suggest the tool could help clinicians develop strategies to prevent many SSIs. Postoperative SSI rates for…

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Although most OR clinicians would agree poor team communication puts patients at risk, misunderstandings are not uncommon in the perioperative setting. Understanding how communication failures occur and how to correct course takes time and effort, but using the right tools and educating staff can ultimately make patients safer. “The biggest…

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Communication tools such as briefings, debriefings, handoffs, and checklists are considered cornerstones of surgical patient safety, but they’re only effective when used correctly. In many ORs, steps may be skipped that later are linked to adverse events that should not have happened. Greater mindfulness and proper implementation of communication tools…

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The rare but very serious condition of malignant hyperthermia (MH) remains a risk at all surgical facilities, including ambulatory surgical centers (ASCs). MH occurs in about one in 50,000 adults under anesthesia, and one in about 12,000 children, which translates to one or two deaths annually in the United States.…

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Editor's Note In today’s opioid epidemic, people are looking for a scapegoat, and often it is the Joint Commission’s pain standards that take the blame, says David W. Baker, MD, MPH, FACP, in response to an April 13 letter from five dozen nonprofit groups and medical experts laying out issues…

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