Editor's Note As hospital systems seeing a significant jump in outpatient care, they are also seeing a rise in patient acuity across inpatient care. This increased patient acuity for inpatient care is driving changes to care models across both settings, an October 27 article in Becker’s Clinical Leadership reports. Clinical…

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Editor's Note Improving first case on-time starts (FCOTS) in an ambulatory surgery center (ASC) can improve overall efficiency. When the first case of the day starts on-time, it leads to a cascading effect that can prevent cancellations, improve patient satisfaction, and reduce stress for perioperative staff. It can also make…

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Editor's Note Consistent case volume is the lifeblood of any successful ambulatory surgical center (ASC), but one often overlooked limiting factor in driving ASC volume is the anesthesia group, according to Michael Bernard, MD, in the September 2025 issue of Surgical Business. Staffing shortages of anesthesia professionals are a major…

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Editor's Note A balanced approach to leveraging AI in surgical decision making should be taken to weigh the benefits of increased efficiency and potential accuracy of using AI against the principles of medical ethics such as patient autonomy, beneficence, nonmaleficence, and justice, authors recently advised in the November issue of…

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Editor's Note Obesity is a key driver of earlier total hip arthroplasty (THA) and elevated perioperative risk, according to findings published October 29 in Surgeries. While THA is a well-known intervention for older adults with end-stage hip osteoarthritis, the researchers reported a link between an increase in obesity and the…

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Editor's Note The incidence of surgical patients being discharged against medical advice is increasing, leading to a subsequent rise in postoperative complications and readmissions, according to new published research. The investigators evaluated trends, risk factors, and postoperative outcomes among surgical patients who were discharged against medical advice and their findings…

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Editor's note A liberal blood transfusion strategy after major vascular or general surgery for patients at high risk of a cardiac event did not reduce 90-day death or major ischemic outcome rates compared with a restrictive strategy, according to results from the Transfusion Trigger after Operations in High Cardiac Risk…

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Editor's Note Surgical care can be influenced if a patient has high blood pressure, including for preoperative assessment, intraoperative monitoring and to prevent postoperative complications such as heart and kidney injury, stroke, and death. An overview of updated blood pressure guidance updates to the 2017 Blood Pressure Guidelines released by…

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Editor's note Enhanced Recovery After Surgery (ERAS) guidelines continue to evolve for specific procedures with the goal to optimize patient recovery and surgical outcome. There is a recognized need for consensus on ERAS recommendations specific to surgery for moderate to severe degenerative cervical myelopathy (DMC)—progressive compression of the spinal cord…

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Editor's Note Surgical procedures frequently produce specimens for pathology to confirm diagnosis and ensure quality control. However, common errors such as look-alike sound-alike specimen labeling inaccuracies can compromise patient safety and negatively impact workflow efficiency, as discussed in an October 28 improvement brief in the Joint Commission Journal on Quality…

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