Running an ambulatory surgery center (ASC) is not for the faint of heart. ASC leaders are navigating tight margins, stricter-than-ever quality reporting, lean staffing resources, payer squeeze, and a relentless push to be profitable without proper support. And yet, the ASC market is booming. The number of Medicare-certified ASCs has…

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Perioperative leaders often have to make critical decisions, not just in the middle of an operational crisis but also somewhere in the edges—the routine but still high-stakes moments where leaders need to adjust resources or absorb costs under tight constraints. The economic margin for error continues to narrow, and many…

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Editor’s Note: This page is a companion piece to the main article, Emergency preparedness: Identifying essential supplies for unplanned surgical events. While the main article outlines the principles of emergency readiness and supply preparation in the OR, the posts below offer a closer look at two key implementation areas: Supply…

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While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…

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Editor’s Note: This page is a companion piece to the main article, Proper planning prevents OR construction, renovation cost creep. It brings together four focused updates on OR and ambulatory surgery center (ASC) construction and renovation: Regulatory shifts: The Joint Commission's updated safety and sustainability requirements for hospitals and ASCs, including new…

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How would you describe the ideal OR? Whatever the answer, the chance to reimagine and reshape the perioperative suite can be among the most exciting projects of a perioperative leader’s career. However, OR construction and renovation also can be among the most daunting projects of a perioperative leader’s career. Just…

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An estimated 22 million Americans were believed to have obstructive sleep apnea (OSA) in 2019, according to data cited in a February 2019 article published by OR Manager. At that time, up to 80% of cases were undiagnosed, and 30% to 40% of the surgical patient population was believed to…

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Comparing healthcare to aviation is a long-standing tradition, especially when discussing safety systems like checklists. However, the similarities extend beyond protocols. Just as flying a paper airplane differs vastly from piloting a jumbo jet, so too does earning a certificate of attendance differ from achieving professional certification. Parallels like these…

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