Surgery
Emotional outcomes of intraoperative deaths on surgical teams
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…
The Joint Commission's safety alert supports removal of surgical smoke
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…
First assistants bring expertise and efficiency to the OR table--Part 1
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.…
Studies assess use of Mako System in joint arthroplasty
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…
The Joint Commission releases 2020 sentinel event statistics
Editor's Note The Joint Commission, on March 24, released its sentinel event statistics for 2020, which totaled 794. The top five most frequently reported events were: Falls: 170 Unintended retention of a foreign object: 106 Suicide: 81 Delay in treatment: 76 Wrong-site surgery: 68. The Joint Commission’s Office of Quality…
Kentucky is third state to enact legislation on surgical smoke evacuation
Editor's Note AORN announced on March 24 that Kentucky Governor Andy Beshear had signed into law new legislation that will require licensed hospitals and ambulatory surgery centers to adopt and implement policies to prevent human exposure to surgical smoke. AORN’s government affairs team and Kentucky AORN members worked closely with…
Importance of critical event debriefs cannot be overstated
During the COVID-19 pandemic, healthcare workers nationwide have experienced patient deaths on a scale like never before. Whether from COVID-19 or other complications, surgical services staff sometimes lose patients despite their best efforts, and these failures to rescue can leave lasting psychological or emotional scars. Many healthcare facilities have ramped…
Capture the right case data to maximize OR utilization
To rebound from the industry-wide disruption caused by COVID-19, many healthcare organizations are focused on optimizing OR processes to clear the backlog of elective surgical procedures and improve financial performance. However, traditional OR block management methods for surgical schedules provide limited foresight into what block time will ultimately go unused,…
Hospitals ramp up outpatient TJA in the COVID-19 era
Fueled by a pandemic, patient demand, and competition with ambulatory surgery centers (ASCs), hospital outpatient department (HOPD) leaders are feeling the push to offer same-day discharge for total joint arthroplasty (TJA). Outpatient TJA is nothing new, but it’s certainly growing in popularity, says John W. Stirton, MD, MBA, medical director…
Large study concludes surgery should be delayed 7 weeks after COVID-19 diagnosis
Editor's Note A new international study with more than 15,000 coauthors from 116 countries concludes that surgical procedures should be delayed for 7 weeks after a patient tests positive for COVID-19, to reduce postoperative mortality risk. The analysis of 140,231 patients undergoing surgical procedures in 1,674 hospitals in October 2020…
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