Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…

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Editor's Note In this study, researchers from Brigham and Women’s Hospital and Harvard Medical School, Boston, find that ambulatory surgery offers significant cost savings and generally superior 30-day outcomes compared to inpatient surgery. Of 73,724 patients having hernia repair, primary total or partial thyroidectomy, laparoscopic cholecystectomy, or laparoscopic appendectomy in…

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Editor's Note This multicenter retrospective study led by researchers from George Washington University School of Medicine, Washington, DC, found that aspirin use by COVID-19 patients was associated with improved outcomes. Of 412 COVID-19 patients included in the study, 314 (76.3%) did not receive aspirin, and 98 (23.7%) received aspirin within…

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During the COVID-19 pandemic, healthcare workers nationwide have experienced patient deaths on a scale like never before. Whether from COVID-19 or other complications, surgical services staff sometimes lose patients despite their best efforts, and these failures to rescue can leave lasting psychological or emotional scars. Many healthcare facilities have ramped…

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To rebound from the industry-wide disruption caused by COVID-19, many healthcare organizations are focused on optimizing OR processes to clear the backlog of elective surgical procedures and improve financial performance. However, traditional OR block management methods for surgical schedules provide limited foresight into what block time will ultimately go unused,…

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Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…

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Editor's Note A study by the Riken research institute and Kobe University using Fugaku, the world’s fastest supercomputer, finds that wearing two masks offers little benefit in preventing the spread of COVID-19 compared to one well-fitted disposable mask, the March 4 Reuters reports. The researchers found that tightly-fitted surgical masks…

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Editor's Note The Joint Commission on February 24 announced that it will be offering an Advanced Certification for Spine Surgery (ACSS) in collaboration with the American Academy of Orthopaedic Surgeons (AAOS). The new program will be available in July to hospitals, critical access hospitals, and ambulatory surgery centers that perform…

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The end of the COVID-19 pandemic is in sight, but hospital surgery departments will not likely see a rapid return to normal. Since the start of the pandemic, perioperative leaders have had to stay flexible and act quickly. Over the next 12 months, OR leaders will need to reassess the…

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Implants are foreign bodies, and they increase the risk of a surgical site infection. Processing implants requires strict adherence to the required steps because implants have sustained contact with sterile tissue. An implant is defined as a device that is placed into a surgically or naturally formed cavity of the…

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