Some 800,000 knee replacements and 550,000 hip replacements are performed in the US each year. Factoring in the ever-expanding aging population, projections show the figure for knee replacements alone will explode to 3.5 million procedures being done annually by 2030—and that is just one type of procedure within a single…

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Editor's Note US News & World Report released its "Best Medical Schools" rankings with significant changes after a 2-year delay, MedPage Today reported July 23. Medical schools are now grouped into tiers instead of ordinal rankings for both research and primary care. This change follows several top schools, led by…

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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…

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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. Establishing and maintaining best…

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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…

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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…

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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…

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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…

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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,…

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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…

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