Editor's Note CMS hospital star ratings may not be a reliable tool for assessing surgical quality, according to a study published June 18 in JAMA Surgery. Researchers acknowledge that higher ratings are generally associated with improved postoperative outcomes, including fewer complications and lower 30-day mortality rates. However, as reported by…

Read More

Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Whether a clinic is…

Read More

TAKEAWAYS • HR should be involved early in the disciplinary process to help guide OR leaders’ decision-making throughout disciplinary and/or remediatoin processes. • Timing, privacy, opportunities for employee feedback, and an empathetic approach are among the most important considerations for a final termination meeting. • Whatever the process for communicating…

Read More

TAKEAWAYS • Addressing an employee with a competency or behavior issue is important for the well-being of staff and managers. • Determining the reason for the issue is an important first step to resolving it. • Sources of support for managers include colleagues, human resources, and educators. In today’s perioperative…

Read More

Editor's Note Mini-slings for stress urinary incontinence (SUI) are similarly effective to mid-urethral slings over a 36-month timeframe, according to an April 11 announcement from the US Food & Drug Administration (FDA). FDA reached this conclusion after an in-depth, systematic literature review of post-market surveillance (“522”) studies required last year…

Read More

Editor's Note An advisory published March 7 by The National Council on Aging (NCOA) offers newly updated information details the impact of sleep deprivation on health as well as the causes and warning signs of the most common sleep disorders. According to the publication, 35.5% of American adults reported sleeping…

Read More

Editor's Note A team of Johns Hopkins researchers has designed a robot capable of performing the most complex, delicate procedures—including head and neck tumor resection—with accuracy greater than many human surgeons. As reported by the institution on March 18, ASTR: the Autonomous System for Tumor Resection is an autonomous, dual-arm,…

Read More

Editor's Note Findings published March 4 in Jama Network show that preoperative urine culture is a low-value intervention for most surgical patients and should be de-implemented. Despite guidelines to the contrary from Infectious Diseases Society of America and the American College of Physicians, preoperative urine testing and antibiotic treatment persists…

Read More

Editor's Note Researchers at Imperial College London are using noninvasive brain monitoring to understand the stressors contributing to cognitive overload in surgeons as well as how to combat the condition. The Guardian reported the news on March 2. The monitoring technique, called functional near-infrared spectroscopy (fNIRS), measures neural activity in…

Read More

Editor's Note American hospitals fared well in Newsweek’s 2024 "World's Best Hospital" list, Becker’s Hospital Review reported February 28, noting that 43 candidates from the United States made the list of 250. Four US hospitals ranked in the top 10, a group singled out specifically for innovative use of artificial…

Read More