Surgical/Anesthesia

Latest Issue of OR Manager
December 2017
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Gastric bypass found to be durable long term

Editor's Note This 12-year study showed long-term durability of weight loss and effective remission and prevention of type 2 diabetes, hypertension, and dyslipidemia after Roux-en-Y gastric bypass surgery. For the study, 1,156 severely obese patients were divided into three groups: 418 who sought and had Roux-en-Y gastric bypass (surgery group),…

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By: Judy Mathias
September 21, 2017
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FDA clears first duodenoscope with disposable end cap

Editor's Note The Food and Drug Administration (FDA) on September 20 cleared the first duodenoscope with a disposable end cap, which will improve access for cleaning and reprocessing. The new features of the Pentax ED34-i10T duodenoscope include a single-use detachable and disposable distal cap, simpler user interface, improved ergonomics, improved…

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By: Judy Mathias
September 21, 2017
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Risk assessment system from private industry identifies SSI risks in ASCs

Editor's Note A risk-assessment system designed to avoid harm in private industry (ie, Socio-Technical Probabilistic Risk Assessment [ST-PRA]), was used by Agency for Healthcare Research and Quality (AHRQ)-funded researchers to identify practices likely to pose infection risks in ambulatory surgery centers (ASCs). The ST-PRA ranks failure points (events) according to…

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By: Judy Mathias
September 20, 2017
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Little change in physical activity after total joint surgery

Editor's Note Physical activity in total joint patients did not change at 6 months after surgery and small-moderate improvement was found at 12 months, despite large improvements in pain and quality of life, this meta-analysis finds. A total of seven studies (336 patients) were analyzed. Reasons for the lack of…

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By: Judy Mathias
September 20, 2017
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Physicians spend more than half their time on EHR tasks

Editor's Note Primary care physicians spend more than half of their workday typing data on a computer screen and completing other electronic health record (EHR) tasks, this study from the University of Wisconsin and the American Medical Association finds. During a typical 11.4-hour workday, physicians spent nearly 6 hours on…

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By: Judy Mathias
September 20, 2017
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Successful onboarding of surgeons makes good business sense

Perioperative staff complete a thorough orientation to ease their transition into a new job, but what about surgeons? How are they onboarded into a new OR? This isn’t an academic question—effective onboarding is key to the success, including financial success, of the OR. “To have someone walk through the door…

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By: Cynthia Saver, MS, RN
September 20, 2017
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PACU patient flow improves with CRNA assistance

Throughput inefficiencies are a growing problem in surgical services departments. Patients are held in the OR because there is no room in the postanesthesia care unit (PACU), and patients are held in the PACU because there are no beds available in the patient care unit or because outpatients having major…

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By: Judith M. Mathias, MA, RN
September 20, 2017
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ASC leaders like their jobs despite stagnant salaries

Despite the turmoil in healthcare, leaders of ambulatory surgery centers (ASCs) are a highly satisfied group, with 83% having a favorable view of their current position, according to the OR Manager 2017 Salary/Career Survey. But ASC leaders are markedly less satisfied when it comes to their compensation, with 60% viewing…

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By: Cynthia Saver, MS, RN
September 20, 2017
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CMS proposes delay for mandatory implementation of OAS CAHPS Survey

Responding to industry concerns, the Centers for Medicare & Medicaid Services (CMS) has proposed a delay in the mandatory implementation of the patient experience of care satisfaction survey requirement known as the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey® (OAS CAHPS). CMS announced the proposed…

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By: Leslie Flowers
September 20, 2017
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Lumbar spine fusion market set for growth

Editor's Note Analysis by 360 Market Updates estimates that the lumbar spine fusion market will see a compound annual growth rate of 4.9% through 2021, the September 15 Becker’s Spine Review reports. A key driver of growth is the increasing popularity of physician-owned ambulatory surgery centers. DePuy Synthes, Medtronic, Stryker,…

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By: Judy Mathias
September 18, 2017
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