Ambulatory Surgery

Latest Issue of OR Manager
May 2025
Home Ambulatory Surgery

Sources, consequences of intraoperative stress in surgical teams

Editor's Note This study from the Minneapolis VA Healthcare System finds that intraoperative stress in surgical teams is common and has multiple sources, including adverse events. Researchers conducted 28 interviews with surgical team members on intraoperative stress and emotional and behavioral responses to stressors. The researchers then identified themes in…

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By: Judy Mathias
August 29, 2023
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SSI rates before, after reuse of PPE during pandemic

Editor's Note This study from Trinity Health, Ann Arbor, Michigan, compares prepandemic surgical site infection (SSI) rates before reusing personal protective equipment (PPE), to pandemic SSI rates after reusing PPE in trauma surgical patients. A total of 48,987 patients were included in the analysis, with half in the postpandemic group.…

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By: Judy Mathias
August 24, 2023
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FDA: Class I recall of Draeger Carina Sub-Acute Care Ventilators

Editor's Note The Food and Drug Administration (FDA), on August 23, identified the recall by Draeger Medical of its Carina Sub-Acute Care Ventilators as Class I, the most serious. The recall was initiated because of the presence of contaminants in the device’s airpath. The contaminants exceed acceptable levels if the…

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By: Judy Mathias
August 24, 2023
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Sociodemographic disparities in PONV

Editor's Note This study led by researchers at the University of Alabama at Birmingham examines the associations between sociodemographic factors and the incidence of postoperative nausea and vomiting (PONV) and clinician adherence to PONV prophylaxis protocols. A total of 8,384 patients were included in the analysis. When PONV prophylaxis protocols…

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By: Judy Mathias
August 23, 2023
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Study: Transitioning back to reusable surgical gowns

Editor's Note In this study, researchers from the University of California, San Francisco, examine the feasibility of transitioning back to reusable surgical gowns and the corresponding cost savings and reductions in solid waste. Disposable surgical gowns were replaced with polyester reusable surgical gowns with AAMI level III barrier protection that…

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By: Judy Mathias
August 22, 2023
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HHS: ARPA-H project to strengthen healthcare cybersecurity

Editor's Note The US Department of Health and Human Services (HHS) Advanced Research Projects Agency for Health (ARPA-H) announced that it is seeking proposals through September 7 to help fund and develop cybersecurity technologies for healthcare systems, clinics, and healthcare-related devices,  the August 17 WIRED reports. The Digital Health Security…

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By: Judy Mathias
August 22, 2023
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The Joint Commission’s revised medication compounding requirements include perioperative settings

Editor's Note The Joint Commission announced, on August 22, that it had revised its requirements related to medication compounding for accredited hospitals and critical access hospitals, effective January 1, 2024. The revisions include Element of Performance (EP) 3 for National Patient Safety Goal (NPSG) NPSG.03.04.01: "Label all medications, medication containers,…

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By: Judy Mathias
August 22, 2023
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Nurse leader key to ASC success

In the May issue of OR Manager, an article from us at the Competency & Credentialing Institute (CCI) covered the definition of the nurse leader in the ambulatory surgery center (ASC) space, and what that role may look like depending upon the structural organization of the ASC. We covered that…

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By: Marian McCann Kleinman, MBA, BSN, RN, CASC(E), CNOR(E), CSSM
August 21, 2023
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Survey: ASC volumes continue to rise amid staffing challenges

healthcare nurse staff

ASC leaders continue to see increased surgical volumes but are finding it difficult to staff their centers, according to the 2023 OR Manager Salary/Career Survey. More than half (56%) of respondents reported increased volume in the past 12 months, the same as last year. Yet the ability to recruit new…

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By: Cynthia Saver, MS, RN
August 21, 2023
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Market forces affecting the ambulatory surgery industry

Ambulatory is the term the industry is “stuck with” because that is the name the founders came up with in 1970, says David Shapiro, MD, CASC, CPHRM, LHR, an anesthesiologist with extensive experience in ambulatory surgery management and a member of the Accreditation Association for Ambulatory Health Care (AAAHC) board.…

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By: Judith M. Mathias, MA, BS, RN
August 21, 2023
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