Editor's Note In this study, researchers from Yale School of Medicine, New Haven, Connecticut, find that mortality after major surgery is elevated in older adults who are frail or who have probable dementia. A total of 1,193 major surgical procedures in 992 Medicare beneficiaries were analyzed. Among the findings: Overall,…

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Editor's Note The Food and Drug Administration (FDA) on November 29 posted Exela Pharma Sciences’ expansion of its recall of Sodium Bicarbonate Injection, USP, 8.4%, 50 mEq/50 mL vial, 20-count carton. The product poses a safety concern because of vial breakage with flying glass when pressurized while preparing the product for…

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Editor's Note This study by researchers at Harbor-UCLA Medical Center, Torrance, California, finds that simple adjustments to single-use surgical packs can have a significant impact on waste reduction and cost-savings in general surgery cases. Researchers tracked unused items in two standard packs opened for 35 general surgery cases. A new…

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Editor's Note The Joint Commission announced on December 7 that it was recognized by the Department of Health and Human Services at the 2022 United Nations Climate Change Conference for its actions to decarbonize the healthcare sector and make healthcare facilities more resilient to climate change. The Joint Commission formally…

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Editor's Note This prospective Danish study finds that transfer to a postanesthesia care unit (PACU) immediately after elective hip and knee arthroplasty might be unnecessary in low-risk patients. A total of 696 total knee (274), total hip (287), and unicompartmental knee (135) arthroplasty patients were analyzed. Of those, 307 bypassed…

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Editor's Note Overall healthcare employment in the US was up in November to a seasonally adjusted 16,623,800 workers, the Bureau of Labor Statistics reported on December 2. That’s up 44,700 since October. Hospital employment also was up by 11,000 jobs. The overall unemployment rate for November was 3.7%, for a…

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Editor's Note The OR Manager Conference program committee is seeking presentation proposals for the 2023 conference, to be held September 18–20 at Music City Center in Nashville, Tennessee. Perioperative leaders who have experience or a story to share in the following categories are encouraged to submit a proposal by December…

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Today’s chat is with Cynthia Hess, MSN, RN, FNP-C, RT(R)(CT)(ARRT), Director of Nursing, Northeast Missouri Ambulatory Surgery Center, Hannibal, MO. Q: What is something that went right at your facility and/or that you are thankful for this year? What I’m thankful for, hands down, is my staff. They take such…

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After writing my latest article on surgical robots (Operationalizing a robotics program for evenings, weekends, pp 13–15, 19) for this issue of OR Manager, I reminisced on how the surgical robot has evolved and how my interest in surgical robots began.   Reminiscing about robots It all began with the…

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The St Elizabeth Healthcare organization in northern Kentucky has eight facilities, including two surgery centers. The flagship hospital on the Edgewood campus has 534 beds and 22 ORs and typically performs some 14,000 surgical procedures per year. Robots help manage the volume. The Edgewood, Florence, and Ft Thomas hospitals have…

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