Johns Hopkins robot performs first laparoscopic intestinal anastomosis without human help
Editor's Note The Smart Tissue Autonomous Robot (STAR), designed by a team of researchers at Johns Hopkins University, has performed laparoscopic intestinal anastomoses in four experiments on pig tissue without human help. The robot outperformed surgeons using manual-laparoscopic and robot-assisted surgical techniques in the consistency of suture spacing and bite…
Cardiovascular considerations before elective noncardiac surgery in COVID-19 patients
Editor's Note In this viewpoint, researchers from Stanford University School of Medicine, note that it is unclear whether cardiovascular complications associated with COVID-19 persist beyond the acute phase of illness and whether a history of COVID-19 warrants any additional preoperative cardiac assessments before having elective surgery. They review the literature…
The Joint Commission revises Environment of Care Chapter
The Joint Commission revises Environment of Care Chapter The Joint Commission on January 26 announced that it has approved several revisions to Elements of Performance (EP) in the Environment of Care (EC) chapter, which will vary across accreditation programs. Among the revisions: Standard EC.02.04.01, EP 11, which addresses reporting incidents…
Socioeconomic differences in telemedicine use for ambulatory surgical care during COVID-19
Editor's Note This study from Brigham and Women’s Hospital and Harvard Medical School, Boston, finds that Black patients used telemedicine platforms more often than White patients for ambulatory surgical care during Phase 2 of COVID-19. During Phase 1 (March 24 through June 23), there were 347 in-person and 638 virtual…
Providing preoperative virtual education to providers, patients
The American Academy of Orthopaedic Surgeons projects that total hip replacement (THR) and total knee replacement (TKR) procedures will increase to 635,000 and 1.28 million, respectively, by 2030. That leads to a tremendous amount of Episode of Care opportunities. How can we as clinicians ensure the best possible experience for…
Risk of postop complications in COVID-19 patients after major elective surgery
Editor's Note This study led by researchers at the Massachusetts General Hospital and Harvard Medical School, Boston, finds that major elective surgery performed 0 to 4 weeks after COVID-19 infection is linked to an increased risk of postoperative complications. Of 5,479 patients analyzed, those who had surgery 0 to 4…
The Joint Commission updates 2022 ORYX performance measure requirements
Editor's Note The Joint Commission, on December 15, announced that it had updated its 2022 ORYX performance measure reporting requirements for accredited critical access hospitals and hospitals, effective January 1, 2022. Among the updates: The Joint Commission’s new Direct Data Submission Platform (DDSP) will be available for hospitals to submit…
Mastering surveys by The Joint Commission, CMS during COVID-19 pandemic
The 2021 OR Manager Conference in Chicago saw John R. Rosing, MHA, FACHE, executive vice president and principal of Patton Healthcare Consulting, Naperville, Illinois, give his annual update on mastering Joint Commission standards and Centers for Medicare and Medicaid (CMS) regulations. The past 2 years of COVID-19 restrictions have delayed…
Takeaways and lessons learned from OR Manager Conference
After more than a year in hiatus, OR Manager Conference was held in October 2021 in Chicago, bringing together hundreds of attendees, speakers, and exhibitors. After the live conference, OR Manager sat down with Cindy Kildgore, education coordinator for the OR Manager Conference; Amy Bethel, education coordinator for the OR…
County-level social vulnerability linked to worse postop outcomes, especially in minority patients
Editor's Note This study from the Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, Ohio, finds that patients residing in vulnerable communities characterized by a high social vulnerability index (SVI) had worse postoperative outcomes, and the impact was most pronounced in Black/minority patients. In this analysis…
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