The better a patient’s overall health prior to undergoing surgery, the more likely a good surgical outcome. Research has demonstrated the benefits of prehabilitation and Enhanced Recovery After Surgery protocols, and many healthcare facilities have embedded such practices into their surgical patient care pathways. At UPMC Central Pennsylvania Region in…

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Staff turnover and open positions have increased in ambulatory surgery centers (ASCs) during the past year, according to the 2021 OR Manager Salary/Career Survey, indicating the continuing effects of the COVID-19 pandemic. About half (49%) of ASC leaders reported increased RN turnover (more than double the 24% in 2020), and…

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The migration of surgical procedures from hospital ORs to hospital-owned ambulatory surgery centers (ASCs) is picking up speed. According to a recent survey, three-quarters of larger hospitals now have an ownership stake in more than one ASC. Two-thirds of US health systems are currently planning to increase their ASC investment.…

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Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…

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Increased tensions during the COVID-19 pandemic have contributed to a spate of violent incidents, many of them directed at healthcare workers (HCWs). About 20% of respondents to a National Nurses United survey in late 2020 of more than 15,000 US registered nurses reported an increase in on-the-job violence caused by…

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The Joint Commission on June 18 issued prepublication standards for its New and Revised Workplace Violence Prevention Requirements, which will apply to all Joint Commission-accredited hospitals starting January 1, 2022. Revisions range from some wording changes in existing requirements to the addition of new Elements of Performance (EP) within certain…

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This year, the American Hospital Association reports that hospitals could lose between $53 billion and $122 billion in revenue. Public health and the healthcare sector faced severe physical, mental, and financial stressors in 2020. Although some pandemic-driven burdens are finally easing, US hospitals are expected to face enormous fiscal losses…

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Cancellations of some surgical procedures during the COVID-19 pandemic and case rescheduling have been a major focus for perioperative leaders. But changes are also occurring in anesthesia practices. For many surgical procedures, the use of regional anesthesia or nerve blocks, coupled with light sedation, is reported to double if the…

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