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November 2025
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Smart knee’s advance heralds future of proactive postop care

Takeaways Transmitting health metrics directly from a surgical implant reduces the need for in-person followup and offers more objective data on recovery than patient-reported measures. This technology’s potential extends beyond knees. Whatever the nature of the treatment, postop monitoring is critical. Patient education is essential for setting up the data…

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By: Matt Danford
July 31, 2024
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The toll of excess inventory and the role of ecommerce

I still recall being handed roughly 10 boxes of suture anchors to practice with years ago at New York University (NYU) medical school. “Aren’t these needed here?” I asked incredulously. “Not at all,” came the answer, despite a hefty price tag of $1,000 per box. In fact, getting the suture…

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By: Andrew Dold, MD
July 31, 2024
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ASC management is a skill: A day in the administrator role

The administrator of an ambulatory surgery center (ASC) wears many hats, doing every odd job in the book to keep their free-standing center safe, compliant, and operational. But what does “wearing many hats” mean exactly? OR Manager spoke with Nyleen Flores, CPMSM, CPCS, CPCO, CASC, chief administrative officer at Lake…

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By: Tarsilla Moura
July 31, 2024
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Are you a perioperative nurse or an OR nurse?

For me, the answer is easy. For 25 years I have consistently said, “I’ve never nursed an OR a day in my life; it’s always been the patients.” As perioperative nurses, what we do is about more than where we work. Why is it that 25 years after the Association…

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By: Ruth Plotkin Shumaker, BSN, RN, CNOR
June 24, 2024
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Scaling standards from sterile processing department to clinic

Reforming instrument reprocessing practices does not always end with the main sterile processing department (SPD). Holding clinics to the same standard adds to the challenge, whether they are associated with hospitals or operate independently. Nonetheless, standardization is just as essential to maintaining efficiency and quality standards. Establishing and maintaining best…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL and Vanessa Frank, CRCST, CHL, CER, CIS
June 24, 2024
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State of the huddle: The barriers to and benefits of preop meetings

Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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By: Maya Ber-Lerner
June 24, 2024
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The rise of AI in radiology—and what the future holds

When it comes to the adoption of artificial intelligence (AI) in medicine, radiology is leading the charge. As of May 13, 2024, the US Food and Drug Administration (FDA) had approved nearly 900 AI- and machine learning (ML)-enabled devices, and the vast majority of them are in radiology. One example…

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By: Brita Belli
June 24, 2024
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Ambulatory endoscopy management strategies keep patients, finances healthy

Gastrointestinal (GI) endoscopy is one of the most common procedures in the US. Performed more than 17.1 million times per year in inpatient and outpatient hospital settings as well as ambulatory surgery centers (ASCs), GI procedures account for 68% of all endoscopies, according to a May 2022 article in Digestive…

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By: Cynthia Saver, MS, RN
June 24, 2024
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Rural hospitals contend with challenging opportunities

Rural hospitals in the US have been facing a prolonged, multifaceted crisis. The literature presents several reasons for why healthcare facilities in rural areas struggle, including shrinking budgets, rising chronic illness and public health issues like addiction and obesity, poor telehealth and broadband access, aging populations, deteriorating mental health, and…

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By: David C. Walsh
June 24, 2024
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Surgery center culture must prioritize cleaning, hand hygiene

Ambulatory surgery centers (ASCs) play an increasingly crucial role in delivering outpatient surgical care that is efficient, effective, and—most importantly—safe. As the ASC sector continues to grow and evolve, maintaining best practices in hand hygiene and environmental cleaning and disinfection is imperative to protect patients from infections. ASCs also should…

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By: Erica Smith
May 24, 2024
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