Perioperative Leadership

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September 2025
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AAAHC unveils v44 standards to sharpen focus on patient-centered ambulatory care

Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) released its v44 Standards, introducing new guidance designed to strengthen patient-focused care, streamline compliance, and align with evolving state regulations, an August 18 AAAHC announcement reports. As detailed in the news release, the v44 Standards, effective December 16, 2025, were…

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By: Tarsilla Moura
August 26, 2025
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Expert lessons on building successful total joints programs in ASCs

By 2022, orthopedic procedures performed in ambulatory surgery centers (ASCs) were already outpacing expectations. For years, total hip and knee replacements were considered too complex for same-day surgery. Yet, total joints replacement volumes jumped nearly 200% between 2020 and 2022—outpatient total knee arthroplasty surged nearly 194%, while total hip arthroplasty…

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By: Tarsilla Moura
August 26, 2025
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AST warns against fast-track training programs

Editor’s Note: This page is a companion piece to the main article, "Health systems embrace partnerships, new training pathways to address surgical technologist shortage."   The Association of Surgical Technologists (AST), a 55,000-member organization, acknowledges the growing shortage of surgical technologists (STs) but is raising alarms over the rise of…

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By: Anne Wainscott-Sargent
August 25, 2025
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Health systems embrace partnerships, new training pathways to address surgical technologist shortage

Roughly 41,000 surgical procedures happen in the US every day. Each one depends on surgical technologists (STs), the professionals who prepare the OR, hand off instruments, and ensure a sterile environment to prevent infections that affect up to 3% of all patients. The profession’s importance is reflected in AORN’s recommended…

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By: Anne Wainscott-Sargent
August 25, 2025
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Cryo nerve ablation cuts pain, narcotic use after heart surgery

Editor's Note A freezing technique applied during heart surgery is reducing pain, shortening recovery times, and minimizing the need for narcotics, News 9/CBS News August 13 reports. The procedure, called cryo nerve ablation, involves freezing nerves around the ribs to block pain signals for about 60 days. The nerves eventually…

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By: Tarsilla Moura
August 25, 2025
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Study finds no link between long-standing preprocedural fasting and aspiration pneumonia risk

Editor's Note Loosening fasting policies before surgery does not increase the risk of post-surgical aspiration, also known as aspiration pneumonia, according to a systematic review and meta-analysis published in the journal Surgery in August 2025. The researchers analyzed 17 studies published between 2016 and 2023, including randomized clinical trials and…

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By: Tarsilla Moura
August 25, 2025
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Comfort, targeted nursing speed recovery in colorectal surgery patients

Editor's Note Pairing comfort nursing with targeted surgical care improves recovery, reduces pain, and enhances satisfaction for colorectal cancer patients undergoing laparoscopic surgery, according to an American Journal of Managed Care August 18 article covering a study published in Annali Italiani di Chirurgia. As detailed in the article, the researchers…

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By: Tarsilla Moura
August 21, 2025
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Study: Preoperative behavioral health evaluations improve orthopedic recovery

Editor's Note Meeting with a health behavior psychologist before orthopedic surgery can help patients identify and overcome barriers to recovery, leading to better surgical outcomes, according to a University of Missouri School of Medicine July 31 news article covering a study published in the Journal of Knee Surgery. The study…

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By: Tarsilla Moura
August 21, 2025
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Standardized pathways cut costs, hospital days in pediatric surgery without raising complication rates

Editor's Note Standardized perioperative protocols can reduce hospital stays and costs for children undergoing surgery without affecting complication rates, JAMA Surgery August 20 reports. As detailed in this original investigation, the researchers evaluated the Minimizing Variance in Pediatric Surgery (MViPS) program, a fellow-led initiative launched in 2013 across two academic…

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By: Tarsilla Moura
August 20, 2025
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Artificial disc replacement proves safe, efficient, cost-saving in outpatient spine surgery

Editor's Note Artificial disc replacement (ADR) in the cervical spine can be performed safely, efficiently, and cost-effectively in outpatient/ambulatory surgery centers (ASCs), Ortho Spine News July 31 reports. The article details research from Steven J. Girdler, MD, of DISC Surgery Center, who reviewed 6 years of data from 1,043 patients…

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By: Tarsilla Moura
August 20, 2025
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