Editor's Note Ambulatory surgery centers (ASCs) specializing in orthopedic and spine procedures are seeing a surge in growth, Orthopedics This Week April 2 reports. An "Impact of Change Forecast" report from Sg2, a Vizient Inc company, forecasts a 12% increase in orthopedics/spine ASCs in the next 5 years and a…

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Editor's Note Reducing surgeon manipulation of electronic health record (EHR) OR scheduling systems can improve efficiency, save resources, and enhance service to patients, according to data published in the March/April issue of the Journal of Healthcare Management. Although predictive models using EHR and machine learning improve accuracy compared to traditional…

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Editor's Note A paper published March 29 in the journal Bioengineering examines the growing integration of artificial intelligence (AI) into hospital and healthcare systems and the way in which it is augmenting clinical decision-making, optimizing hospital operation and management, improving medical image analysis, and transforming patient care and monitoring through…

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Editor's Note Data collected from more than 1,300 hospitals nationwide for Kaufman Hall’s National Hospital Flash Report shows strong margins—averaging 3.9% in February—but does not account for significant, near-term headwinds, according to a March 28 article from HealthLeaders. Revenue growth is primarily from outpatient care, and inpatient revenue continues to…

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Editor's Note Older Americans are at heightened risk for both short-term and long-term hospital readmission following major surgery, according to a study from Yale University published February 28 in Jama Network Open.   Readmission places a major financial strain on health systems, researchers write, pointing out that the total cost…

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Editor's Note According to a March 11 research letter published by JAMA Internal Medicine, most physicians have a negative view of private equity’s growing involvement in healthcare. The findings mostly come from a January 2023 survey of 525 medical doctors conducted by the American College of Physicians (ACP). Some highlights…

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Editor's Note Although the use of propofol for colonoscopy has been rising due to beliefs that deep sedation leads to greater patient comfort, a recent systematic review and meta-analysis of nearly 1,500 patients from nine randomized controlled trials shows this view is not supported by available evidence. Published March 8…

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Takeaways OR leaders have experienced financial gains over the past 9 years, but not enough to keep up with inflation in recent years. Capital and operating budget responsibilities have increased over the past 6 years. Since 2015, OR leaders have consistently been most satisfied with their current job, but much…

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What if a surgeon decided to perform a procedure on a patient that was not totally necessary? It happens more often that one might realize. As recently as August 2023, Forbes published an article that cited a Harvard Business Review report stating that over 50% of lumbar spine surgeries are…

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Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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