Editor's Note An EHR-integrated closed-loop clinical decision support system (CDSS) significantly reduced unnecessary preoperative testing, improved patient safety, and significantly reduced costs across two hospitals in Madrid, Spain. As detailed in a study published January 3 in npj digital medicine, this system demonstrates the potential of automated guidelines to optimize…

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Editor's Note A hospital in Canada could see OR PVC waste reduced by as much as half this year thanks to a perioperative waste reduction project innovated by three fourth-year BSN students from the College of the Rockies. East Kootenay News Online Weekly reported the news January 9. According to…

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Takeaways • Visual management (VM) tools support Lean efforts, leading to improved quality and efficiency. • VM boards provide an overview of processes, facilitate problem solving, and promote staff-manager collaboration. • Other VM tools such as color coding and customized instrument trays can help reduce errors and save money. Lean…

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Editor's Note Research published in the British Journal of Anaesthesia suggests that switching to a single syringe pump for both induction and maintenance of anesthesia could significantly cut propofol waste in operating rooms. EurekAlert! published the news October 29.  Propofol waste accounts for up to 45% of medication waste in…

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Editor's Note In 2023, hospitals and surgical centers saved more than $465 million and prevented nearly 98 million pounds of greenhouse gas emissions by utilizing reprocessed single-use medical devices, according to a survey by the Association of Medical Device Reprocessors (AMDR). DotMed reported the news October 21. The data indicate…

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Editor's Note If global healthcare were a country, it would rank as the fifth-largest emitter of greenhouse gases. So says Dr. Sofya Asfaw, a trauma and critical care surgeon at Cleveland Clinic, in a JAMA Network video on “greening” the OR. Published July 17, the short film features experts like…

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Editor's Note Effective waste segregation and adopting a circular economy approach can significantly reduce environmental impact of incinerating hospital waste incorrectly classified as hazardous, according to a narrative review published August 19 in the Medical Journal of Australia. However, surgeons' concerns about patient safety and insufficient systemic policies can hinder…

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Editor's Note Designing ORs with a focus on patient flow, room organization, and the needs of surgical teams can reduce burnout while improving workplace positivity and patient outcomes. That’s according to an April 9 report from Mayo Clinic, where researchers recently integrated 3D space capture technology with traditional focus groups…

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Editor's Note Citing environmental concerns, multiple health systems have stopped using desflurane anesthesia gas, Becker’s Hospital Review reported on May 7. Citing the Philadelphia Inquirer, the outlet notes that Children's Hospital of Philadelphia and Marlton, N.J.-based Virtua Health are among those that have eliminated the gas so far, with the…

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Editor's Note Penn Medicine has made significant strides in reducing the environmental footprint of the OR through department- and team-level initiatives, according to a March 29 report in Penn Medicine news. Driven by CIRCE: Medicine, a faculty group consisting of providers from Penn Medicine and Children’s Hospital of Philadelphia, examples…

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