Editor's Note A new novel coronavirus (SARS-CoV-2), which causes the disease COVID-19, is the third highly pathogenic human coronavirus that has emerged in the last two decades. The other two are the Severe Acute Respiratory Syndrome (SARS) and Middle East Respirtory Syndrome (MERS) coronaviruses. This analysis of 22 studies finds…

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Editor's Note Because of the coronavirus outbreak and recommendations from the American College of Surgeons and US Surgeon General, healthcare systems across the US are cancelling or postponing elective surgical procedures, the March 16 Becker’s Hospital Review reports. These steps are being taken to prevent the spread of coronavirus and…

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Editor's Note The American College of Surgeons (ACS) on March 13 updated its recommendations for the management of elective surgical procedures during the COVID-19 outbreak. Among the recommendations: Each hospital, healthcare system, and surgeon should: review all scheduled elective procedures with a plan to minimize, postpone, or cancel elective operations,…

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Over the last 5 years, the perioperative surgical home (PSH) model has attracted increasing interest from OR directors, anesthesiologists, and surgeons. This team-based, patient-centered approach coordinates all phases of surgical care, from preoperative assessment through intraoperative care and postdischarge recovery. According to the American Society of Anesthesiologists, PSH initiatives have…

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More than half of respondents to a recent OR Manager reader survey put cost-saving initiatives at the top of their list of important topics, and cost reduction is an ongoing challenge for many OR managers. Leaders at Lehigh Valley Health Network (LVH), based in Allentown, Pennsylvania, took a creative approach…

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Hospitals have long dominated the realms of infection control and antibiotic overuse. Ambulatory surgery centers (ASCs), which typically release patients the same day of a procedure, use antibiotics less frequently than other facilities, and most do not have an antimicrobial stewardship program. However, some ASC leaders and organizations are encouraging…

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Editor's Note This study of Medicare patients at 340 teaching hospitals and matched patient controls at 2,444 nonteaching hospitals found that as risk of mortality increased, the mortality benefit of treatment at teaching hospitals also increased, though with marginally higher costs. Included in the analysis were 86,751 pairs of general,…

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Editor's Note This retrospective, multicenter study from four hospitals in Wuhan, China, found that Novel Coronavirus 2019 (COVID-19) specific guidelines for emergency surgical procedures in patients with confirmed or suspected COVID-19 infection can effectively prevent cross-infection in the OR. The guidelines include: negative pressure ORs level 3 protective measures for…

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Editor's Note A system-wide, multipronged pain management and opioid reduction program significantly reduced postoperative opioid discharge prescriptions written for more than 5 days, this study finds. Surgeon education, monitoring, and incentives lead to a shift from longer-term to shorter-term prescriptions for patients after surgery, reducing postoperative opioid prescriptions of more…

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Editor's Note The Risk Analysis Index (RAI) frailty screening tool, which was previously validated in the VA health system, can be efficiently implemented in multispecialty, multihospital healthcare systems to predict adverse postoperative outcomes, including mortality, readmission, and extended hospital stays, this study finds. From July 1 to December 31, 2016,…

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