Editorial
According to the American Academy of Orthopaedic Surgeons (AAOS), the global ambulatory surgery center (ASC) market is valued at around $81 billion, as of 2020, and it is projected to reach $120 billion by 2027. The ASC market in the US is estimated at almost $22 billion, with intelligence company…
Move Well: Teaching OR staff to avoid musculoskeletal injuries
Nurses have the highest incidence of work-related musculoskeletal injuries in the US, and OR nurses have the highest incidence among all nursing specialties. Estimates in the literature say more than 50% report chronic back pain, and 10% must leave their profession entirely because of back injuries. It is also estimated…
Establishing service lines in ambulatory surgery centers
The effects of the COVID-19 pandemic on the healthcare industry could fill an entire academic curriculum at this point, let alone a single article. But one potential silver lining among the storms of bad news is the increasing migration of elective procedures from hospitals to ambulatory surgery centers (ASCs). Although…
Key items for cardiovascular, peripheral vascular service lines
Ambulatory surgery centers (ASCs) are ramping up cardiovascular and peripheral vascular service lines, as Medicare offers payment for a growing number of cardiac procedures and accrediting bodies offer support for this methodology. In 2021, the Medicare Payment Advisory Commission reported that the number of ASCs billing Medicare for cardiology procedures…
A systemic approach to cardiac service line safety
Among Surgical Care Affiliates’ (SCA) 260-plus facilities in the US, at least 10% have added cardiovascular/peripheral vascular service capabilities. SCA experts anticipate more growth in this area. However, any successful launch starts with an organizational focus on patient safety, says Ezra Erb, vice president for clinical quality at SCA, which…
ECRI issues annual list of Patient Safety Concerns
Editor's Note ECRI, on March 14, issued its annual list of Patient Safety Concerns, which is dominated this year by staffing shortages and healthcare workers’ mental health that have been made worse by the COVID-19 pandemic. In the past, the top concerns were typically associated with clinical issues caused by…
ASA: Best practices to manage acute pain in surgical patients developed at pain summit
Editor's Note The American Society of Anesthesiologists (ASA) announced on March 8 that it had joined with 14 leading medical specialty organizations to establish seven guiding principles to address the treatment of acute perioperative pain in complex surgical patients. The new principles were developed during a second landmark pain summit…
Effect of perioperative fall prevention intervention on postop falls, quality of life
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…
APIC outlines actions needed to battle future pandemics while fighting rising HAIs
Editor's Note The Association for Professionals in Infection Control and Epidemiology (APIC) on March 8 announced the publication of a new report outlining actions needed to successfully battle future pandemics while fighting the rise in healthcare-associated infections (HAIs). Some recommendations in the 66-page report, titled “Between a Rock and Hard…
Survey: Concerns older adults have when considering elective surgery
Editor's Note New findings from the University of Michigan's "National Poll on Healthy Aging" show that while most adults between the ages of 50 and 80 express concerns when opting to have elective surgery, 2 in 3 are “very satisfied with the outcome” post-procedure, according to a March 9 American…
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