Ambulatory Surgery

Latest Issue of OR Manager
September 2020
Home Surgical/Anesthesia > Ambulatory Surgery

Best practices back proactive antimicrobial stewardship in ASCs

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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By: Jennifer Lubell
March 16, 2020
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How prepared is your ASC to handle a surgical emergency?

Surgical errors and emergencies can happen at any time, at any facility. For ambulatory surgery centers (ASCs), a major challenge is finding official guidance on the topic. For the most part, it’s up to the individual facility to craft its own policies, competencies, and drills for OR emergencies. “The Association…

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By: Jennifer Lubell
February 21, 2020
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Standardized pathway for outpatient ambulatory fracture surgery

Editor's Note In this study, an outpatient fracture pathway greatly improved the efficiency and timeliness of care, and it reduced costs. A total of 187 patients during the preintervention period and 308 patients during the intervention period were eligible for the ambulatory pathway. Those managed as outpatients increased from 1.6%…

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By: Judy Mathias
February 3, 2020
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Joint Commission: R3 Report details changes for total joint certification program

Editor's Note The Joint commission on January 29 announced a new R3 report detailing changes to the Advanced Certification for Total Hip and Total Knee Replacement program. Effective July 1, there will be 11 new and 11 revised elements of performance (EPs) that will be applicable to all accredited ambulatory…

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By: Judy Mathias
February 3, 2020
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Can your hospital survive the growing dominance of ASCs?

Of the approximately 57 million surgical procedures performed annually in the US, it is estimated that hospital inpatient procedures (overnight admissions) account for less than 20% of cases. Many procedures once performed in hospital outpatient surgery departments (HOPDs) have moved to ambulatory surgery centers (ASCs) over the past 15 years,…

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By: Thomas A. Blasco, MD, MS
January 13, 2020
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FCOTS increase through smarter scheduling and surgeon accountability

Starting the first cases of the day on time is key for maintaining the OR schedule. A delay in first case on-time starts (FCOTS) can lead to less OR utilization, greater facility costs, and dissatisfaction among physicians, OR staff, and patients. It’s a problem in many surgical suites, but when…

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By: Judith M. Mathias, MA, RN
January 13, 2020
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To avoid penalties, know the rules for quality reporting

Keeping up with Medicare’s regulatory and reporting requirements for ambulatory surgery centers (ASCs) can be as difficult as ensuring physicians arrive to start their cases on time. “Regulations can change frequently,” says Gina Throneberry, MBA, RN, CASC, CNOR, director of education and clinical affairs for the Ambulatory Surgery Center Association…

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By: OR Manager
December 17, 2019
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FDA approves first system for insertion of ear tubes with local anesthesia

Editor's Note The Food & Drug Administration (FDA) on November 25 approved a new system for the delivery of tympanostomy tubes into the eardrums of young children without using general anesthesia. The Tubes Under Local Anesthesia (Tula) System (Tusker Medical, Menlo Park, California) is the first ear tube delivery system…

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By: Judy Mathias
December 2, 2019
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A primer for starting a total joint replacement program

Ambulatory surgery centers (ASCs) have increasing incentives to offer total joint replacements (TJR) as Medicare expands the list of covered procedures. However, there’s a lot to consider in this particular service line. “There are many things to arrange that aren’t required with other service lines, particularly as home care of…

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By: OR Manager
November 18, 2019
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Analysis of OR efficiency in ASCs vs hospital outpatient departments

Editor's Note Ambulatory surgery center (ASC) outpatient procedures were more efficiently performed than those performed at a hospital outpatient department (HOP) in this study. Of 220 procedures included in the study (114 ASC, 106 HOP): mean turnover time was 29.8 minutes for HOP vs 24.5 for ASC ancillary time was…

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By: Judy Mathias
November 12, 2019
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