The Business of Surgery

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Is point-of-use treatment an integral part of your sterilization process?

Providing sterile instrumentation for patient care is a basic fundamental of surgery, and ensuring sterility means that instrumentation must first be thoroughly cleaned, step by step. Point-of-use treatment, an important part of this process, is gaining the attention of accrediting agencies such as the Joint Commission, and it is included…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
September 23, 2019
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As ASC leaders' salaries dip, so does satisfaction

Salaries for ambulatory surgery center (ASC) leaders are down slightly, according to the OR Manager 2019 Salary/Career Survey, with slightly more than half of respondents (52%) earning $100,000 or more—a decline from 60% in 2018, 54% in 2017, and 53% in 2016. That dip may be contributing to corresponding lower…

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By: Cynthia Saver, MS, RN
September 23, 2019
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Staffing and surgical volume vie for 'top challenge' facing OR leaders

Staffing headaches for OR managers continue, according to the 2019 annual OR Manager Salary/Career Survey, with more than a third of respondents reporting that the percentage of open positions compared with 12 months ago has increased for both RNs and surgical technologists (STs). The clock has to be turned back…

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By: Cynthia Saver, MS, RN
August 23, 2019
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Inspections reveal need to overhaul bronchoscope reprocessing methods

Extensive research by Cori L. Ofstead, MSPH, and her colleagues at Ofstead & Associates (St Paul, Minnesota) has raised concerns about insufficient reprocessing of gastrointestinal endoscopes and ureteroscopes—even when recommended practices are followed—and their new study makes a compelling case for more stringent reprocessing of bronchoscopes as well. In their…

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By: Judith M. Mathias, MA, RN
August 23, 2019
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Legal and ethical questions temper excitement about AI--Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. In this issue we continue our examination of the challenges related to AI, which began in last month’s issue…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Research raises concerns about lubricants used in endoscopes

Current endoscope reprocessing methods are not consistently effective in eliminating organic soil or microbes, and the off-label use of products for defoaming, lubrication, and bleeding control may be contributing to reprocessing failures. Though endoscope manufacturers have cautioned against the use of these products, endoscopists still commonly use them, and many…

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By: Judith M. Mathias, MA, RN
July 24, 2019
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Editorial

Our series on artificial intelligence (AI) concludes in this issue with part 2 of an in-depth look at legal and ethical questions (cover story) as well as advice for evaluating new AI products (“Consider all angles when choosing AI technology,” p 13). But insights about future trends like AI do…

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By: Elizabeth Wood
July 24, 2019
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Are you prepared for the OR of the Future?

Innovative technology and surgical procedures, including artificial intelligence, will be explored in depth during the OR Manager Conference, September 18-20 in New Orleans. The new OR of the Future gives attendees a unique opportunity to learn through interactive experiences, educational sessions, and discussions with leading experts: product manufacturers as well…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Consider all angles when choosing AI technology

This article concludes OR Manager’s special series on artificial intelligence (AI). Parts 1 and 2 (May 2019 and June 2019) introduced AI, defining the different types of technology and describing its many current and potential applications for surgery. The series also presented examples of AI (June and July 2019). We…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Facilitate and innovate: Ensuring speedy but safe product reviews

Surgeons are the biggest factor in any effort to streamline and standardize the purchase of new surgical devices—and thereby lower costs. But surgeons often balk at getting involved in product review and selection because of the additional demands on their time. Two leading healthcare organizations have moved past this stumbling…

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By: Elizabeth Wood
July 24, 2019
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