Editor's Note ECRI and the Association for Healthcare Value Analysis Professionals (AHVAP) have partnered on a new white paper outlining key supply chain lessons and risk mitigation strategies learned from the COVID-19 pandemic. Among the lessons learned is the critical role physicians play in the value analysis process and that…

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Editor's Note This study by researchers at Harvard Medical School and Brigham and Women’s Hospital, Boston, finds that disparities in access to orthopedic care persisted as orthopedic surgical patients were shifted to telemedicine during COVID-19. The researchers analyzed nearly 2,000 orthopedic patients receiving care via telemedicine from March to May…

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Editor's Note This review study, led by researchers at the Harbor-University of California, Los Angeles Medical Center, Torrance, finds a significant negative effect of COVID-19 on general surgery residents’ operative experience. This retrospective review of 1,358 resident case logs from 16 general surgery programs in the US finds a 33.5%…

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Editor's Note This study from Cedars-Sinai Medical Center, Los Angeles, finds that intraoperative deaths negatively affect surgical team members, with a considerable number experiencing feelings of anger and depression. Of 120 OR team members completing a survey, 82 (68.3%) said they had prior experience with intraoperative deaths, referencing more than…

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Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…

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Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…

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Editor’s Note. This article presents value-based analyses on the use of Mako robotic technology in total knee, partial knee, and total hip arthroplasty. The authors are with Stryker Orthopaedics in Mahwah, New Jersey.   Joint arthroplasty is an effective procedure to treat advanced osteoarthritis of the hips and knees. It…

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Editor's Note This study led by the University of Michigan, Ann Arbor, finds that early in the COVID-19 pandemic, there was a substantial increase in telehealth use across all surgical specialties, with a slow decline after June 2020. Of 4,405 surgeons included in the study, 2,588 (58.8%) used telehealth in…

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Editor's Note The findings of this study from the Southern California Permanente Medical Group, Irvine, suggest that there is a high prevalence of microaggressions that stigmatize female and racial/ethnic-minority surgeons and anesthesiologists and contribute to unhealthy surgical workplaces and physician burnout. Of 588 (259 female, 329 male) respondents to a…

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The COVID-19 pandemic has underscored the importance of respiratory protection in healthcare settings and in the community. Healthcare workers at high risk of infection need the most effective respiratory protection, and not all surgical masks and respirators are alike. Checking for proper fit, donning and doffing correctly, and following manufacturers’…

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