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November 2025
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Surgical discharge against medical advice on the rise

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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By: Carina Stanton
November 11, 2025
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Staffing Strategy: Grow Your Middle Management

Editor's Note Intentional work to grow leaders is an organizational strategy happening in hospitals across the country to target and prevent a higher level of leadership turnover, according to a November 5 news story in Becker’s Hospital Review. The article discussed how healthcare facilities are pursuing more internal development of…

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By: Carina Stanton
November 7, 2025
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NorthStar Anesthesia scales ASC partnerships in Georgia with transparent, clinician-driven model

Editor's Note NorthStar Anesthesia is expanding its reach across Georgia’s ambulatory surgery centers (ASCs), reinforcing its strategy of pairing local clinical autonomy with scalable anesthesia services, an October 1 PR Newswire press release reports. NorthStar reportedly supports more than 60 ASCs statewide through a model focused on transparency, long-term relationships,…

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By: Tarsilla Moura
November 5, 2025
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No longer experimental: ASCs adopting peripheral nerve stimulation for chronic pain

When it comes to treating chronic pain—or pain associated with surgery—clinicians are always looking for alternatives to opioids. “There are zero advantages to chronic opioid use,” says Earl Kilbride, MD, MHA, an orthopedic surgeon at the Austin Orthopedic Institute. While the US makes up about 4.4% of the global population,…

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By: Brita Belli
November 5, 2025
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Save the date: OR Manager Conference celebrates leadership, innovation, community

Editor's Note What a week it was! The 2025 OR Manager Conference just wrapped up at the Anaheim Convention Center, and perioperative leaders are already talking about what is next. Mark your calendars—the 2026 OR Manager Conference is heading to Savannah, Georgia, at the Savannah Convention Center on October 5–7,…

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By: Tarsilla Moura
October 31, 2025
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Survey: Sharp reductions in satisfaction and earnings

Data and surveys

Takeaways • OR leaders’ satisfaction with many work factors, including their jobs, decreased substantially. • Annual salary and compensation decreased. • The average age of survey respondents was significantly lower. Last year’s improvement in OR leader job satisfaction fizzled this year, according to the 2025 OR Manager Career/Salary Survey. The…

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By: Cynthia Saver
October 28, 2025
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Robots reshape surgical services, part 2: Building, sustaining success

Takeaways • Determining the return on investment (ROI) for a robot-assisted surgery (RAS) program should include anticipated surgeon volume and past cases where RAS could have been used. • Some organizations dedicate staff to RAS cases, while others orient all to these procedures. • Offering ROI after hours require careful…

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By: Cynthia Saver
October 28, 2025
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Building trust in AI, making it work for perioperative nurses

Artificial intelligence (AI) has made inroads into nearly every area of healthcare. With nursing shortages continuing—marked by the loss of some 100,000 nurses following the COVID-19 pandemic and projected deficits of 20% or more in some states—AI-based tools that improve access to information, streamline efficiency, monitor patients, track procedures, and…

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By: Brita Belli
October 27, 2025
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Perioperative leaders gather at 2025 OR Manager Conference

Editor's Note Three days of education and networking await perioperative leaders attending this week’s OR Manager Conference, which runs through Thursday, October 30, at the Anaheim Convention Center in Anaheim, California. By the time Dan Weberg, PhD, MHI, RN, FAAN, takes the stage Tuesday morning with his opening keynote, "Healthcare’s…

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By: Tarsilla Moura
October 24, 2025
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CMS launches 6-year model to curb wasteful Medicare spending with AI-driven reviews

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) announced the launch of a new model using artificial intelligence (AI) to target unnecessary Medicare spending, the agency reported in an October 17 update. The voluntary model will run from January 1, 2026, through December 31, 2031, and aims to…

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By: Tarsilla Moura
October 23, 2025
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