Study: Bariatric surgery outperforms GLP-1s in slowing CKD progression in patients with diabetes, obesity
Editor's Note Bariatric surgery significantly reduces the progression of chronic kidney disease (CKD) in patients with type 2 diabetes and obesity compared to those on GLP-1 diabetes medications, according to a study from Cleveland Clinic. Published in Annals of Surgery and detailed in a September 20 announcement from Cleveland Clinic,…
Surgeons leverage mobile MRI for real-time intraoperative imaging
Editor's Note MedStar Georgetown University Hospital’s Verstandig Pavilion is now home to a moveable MRI system that enables real-time intraoperative imaging, NBC Washington reported September 18. As detailed in the article and accompanying video, MRIs are typically performed the day after surgery, sometimes revealing residual tumor tissue that could have…
Deadline looms for CMS patient safety reporting requirements
Editor's Note Starting October 1, US hospitals participating in Medicare's Inpatient Quality Reporting Program will need to report adherence to 25 patient safety best practices, as mandated by the Centers for Medicare & Medicaid Services (CMS). According to a September 4 report from the Association of Health Care Journalists, the…
Statistical models aim to improve surgical patient pain management
Editor's Note Researchers at MIT and Massachusetts General Hospital (MGH) have developed statistical models to improve how anesthesiologists manage unconscious pain, or nociception, during surgery, according to a September 23 report in News Medical. Derived from over 18,000 minutes of surgery data across 101 abdominal procedures, the models aim to…
Countdown to OR Manager Conference: Protect your workplace from violence—How to build a safe environment
Editor's Note Beth Chrismer, MSN, RN, CPHRM, former director of clinical excellence at CHRISTUS Good Shepherd Health System, shared insights into a tragic workplace violence incident that occurred in 2013 at a Texas ambulatory surgery center (ASC) at last year’s OR Manager Conference. Chrismer was risk manager at the time…
Traveler tightrope: OR leaders balance best practices, reduction strategies
Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…
How perioperative staff can combat human trafficking—Part 2
Human trafficking (HT) is a hidden-in-plain-sight crime—victims walk among the public at large, yet they remain essentially invisible. Lack of education and knowledge on HT and anti-trafficking measures is particularly egregious in healthcare. In fact, the literature shows the majority of people being trafficked access the system without being identified…
Study: Chances of pregnancy after tubal ligation higher than previous estimates
Editor's Note Tubal sterilization, often considered a permanent form of contraception, has a failure rate of 3% to 5%, leading to unplanned pregnancies in some cases, UC San Francisco reported August 27. Publishing in NEJM Evidence, university researchers report that contraceptive arm implants or intrauterine devices (IUDs) may be more reliable…
Study: OR noise raises risk of surgical error
Editor's Note Often exceeding federal safety limits, OR noise contributes significantly to communication breakdowns, heightened cognitive load, and increased surgical errors, according to a review of literature published September 17 in Cureus. Identified noise sources include surgical instruments, alarms, and staff conversations, which can reach up to 120 decibels (dBA)—a…
California updates guidance on CRNA scope of practice
Editor's Note Confusion about the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) prompted The California Department of Public Health to update guidelines for acute care hospitals, MedPage Today reported September 18. Issued after violations at two Modesto hospitals resulted in hundreds of cancelled surgeries, a letter from the…
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