Safety

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November 2025
Home Safety

Cloud-based technology addresses resource constraints

Data is collected everywhere, from what we click online to whether we run a red light to how many steps we take each day. There is power in data. When leveraged effectively, data reveal patterns, insights, behaviors, and other potentially actionable intelligence. It stands to reason that data would be…

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By: Jeff Robbins
January 1, 2025
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Why active implants demand proactive management

What happens when a surgeon uses the monopolar instrument set on 30-W coagulation mode to create an upper midline incision in a patient with a pacemaker? Pacemaker function is interrupted, causing a heart block that results in hemodynamic instability—or at least, this is what could happen without taking the necessary…

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By: Mary A. Marvin, APRN-BC and Jill Teubel, MSN, RN
January 1, 2025
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The anesthesia staffing crisis: How we got here, what hospitals can do

Takeaways • Documentation and coding procedures are rife with opportunity for cost savings. • Passed in 2022, the No Surprises Act is designed to protect insured patients from surprise billing for emergency services from out-of-network providers. However, the result has been nearly 40% cuts in reimbursements to anesthesiologists. • OR…

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By: Brita Belli
November 20, 2024
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Telehealth, virtual care enhance perioperative efficiency

Eliminating physical distance as a barrier to communication makes it easier for caretakers to help not only their patients, but also one another. This is the promise of virtual care technology, which offers system-wide potential for providers facing growing demand for high-quality, cost-effective care. For perioperative leaders specifically, advantages of…

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By: Aaron Chau
November 20, 2024
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Sponsored Message

Practice updates ease steam sterilization balancing act

Reliable and robust enough for daily use on most medical devices, steam is the most common sterilant in healthcare facilities. However, using steam properly requires a balancing act. For example, too much moisture can lead to wet packs, while steam that is too dry might not be sufficient to achieve…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
November 20, 2024
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Tardiness policies fine-tune rural OR reform efforts

When a speaker at a recent conference asked if anyone had achieved a first-case on-time start (FCOTS) rate above 90%, Jay Parker, BSN, RN, could have been the only one in the room with his hand up. However, Parker was not inclined to call attention to himself. As director of…

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By: Matt Danford
November 20, 2024
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Sponsored Message

Why bullying, incivility demand distinction

Think of that colleague you would not miss if they called out sick. You may be short-staffed, but you know you are going to have a better shift without their chronic complaining, drama, and lack of productivity sucking all the energy and joy out of the department. Tolerated for too…

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By: Phyllis S. Quinlan, PhD, RN, NPD
November 20, 2024
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Blast from the past: Best practices for successful implementation of ERAS

Enhanced Recovery After Surgery (ERAS) represents a transformative approach in modern surgical care, emphasizing evidence-based, multidisciplinary protocols to optimize patient recovery. Spanning decades, ERAS has grown from a novel concept into a global standard for perioperative care, with benefits that include shorter hospital stays, fewer complications, and reduced healthcare costs.…

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By: Tarsilla Moura
November 15, 2024
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Traveler tightrope: OR leaders balance best practices, reduction strategies

Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…

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By: Cynthia Saver, MS, RN
September 25, 2024
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How perioperative staff can combat human trafficking—Part 2

Human trafficking (HT) is a hidden-in-plain-sight crime—victims walk among the public at large, yet they remain essentially invisible. Lack of education and knowledge on HT and anti-trafficking measures is particularly egregious in healthcare. In fact, the literature shows the majority of people being trafficked access the system without being identified…

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By: Dr Francine Bono-Neri, PhD, RN, APRN, PNP
September 25, 2024
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