At Virginia Commonwealth University (VCU) Health System in Richmond, implementation of Enhanced Recovery After Surgery (ERAS) incorporates principles of Lean thinking, a management methodology that emphasizes “…maximize[ing] customer value while minimizing waste. Simply, lean means creating more value for customers with fewer resources,” according to the Lean Enterprise Institute.1 Several…

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Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…

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Editor's Note In this study, specialty certification was associated with greater professional identity in ICU nurses and higher perceptions of knowledge of and value in evidence-based practices, whereas education level was not. Of 268 respondents from six hospitals and 12 adult ICUs in an integrated health system, 71% had a…

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Editor's Note The World Health Organization (WHO) has designated 2020 as the International Year of the Nurse and the Midwife, in honor of the 200th birth anniversary of Florence Nightingale. WHO and its partners are leading a year-long effort to celebrate the work of nurses and midwives, highlight the challenging…

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Editor's Note Higher levels of nursing education and more certified nurses improved the number of patient falls in this study. Using data from the National Database of Nursing Quality Indicators from 2010 to 2016 from medical centers in Central and Southern Illinois, researchers found that with every 1-unit increase in…

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Editor's Note For the 18th year in a row, US adults taking the Gallup Poll rated nurses highest among professionals for honesty and ethics. In the survey, 85% of respondents rated nurses’ honesty and ethical standards as “very high” or “high,” similar to 2018. The top five also included engineers…

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Editor's Note In this study, researchers found that over a 3-year period, compared to no participation, participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program was associated with a 1.6% decrease in average lower extremity joint replacement spending with no changes in quality, driven by early participants. When looking…

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Editor's Note Researchers at NYU Langone Health combined advanced optical imaging with an artificial intelligence (AI) algorithm to produce accurate, real-time intraoperative diagnosis of brain tumors in this study. Compared with the accuracy of pathologists’ interpretation of conventional histologic images, the results for both methods were comparable. The AI-based diagnosis…

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Editor's Note In this first-year analysis of a data capture system called the OR Black Box, frequent intraoperative errors, events, variation in surgeons’ technical skills, and a high amount of environmental distractions were identified. In 132 patients having elective laparoscopic general surgery: auditory distractions occurred a median of 138 times…

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Editor's Note The Food & Drug Administration (FDA) on December 30 announced a public workshop on the “Evolving Role of Artificial Intelligence [AI] in Radiological Imaging, which will take place February 25-26, 2020, at the Natcher Conference Center, National Institutes of Health, Bethesda, Maryland. The workshop will include discussions on…

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