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…
Spending, quality effects of Medicare’s bundled payments for lower-extremity joint replacement
Editor's Note In this study, researchers found that over a 3-year period, compared to no participation, participation in Medicare’s Bundled Payments for Care Improvement (BPCI) program was associated with a 1.6% decrease in average lower extremity joint replacement spending with no changes in quality, driven by early participants. When looking…
FDA: Class I recall of Medfusion 4000 Syringe Pumps
Editor's Note The Food & Drug Administration (FDA) on December 19, 2019, identified the recall by Smiths Medical ASD, Inc of its Medfusion 4000 Syringe Pumps as Class I, the most serious. The recall was initiated because of malfunctioning low-battery alarms, which may lead to an interruption of therapy. The…
Laser-based imaging system, AI algorithm accurately identify brain tumors
Editor's Note Researchers at NYU Langone Health combined advanced optical imaging with an artificial intelligence (AI) algorithm to produce accurate, real-time intraoperative diagnosis of brain tumors in this study. Compared with the accuracy of pathologists’ interpretation of conventional histologic images, the results for both methods were comparable. The AI-based diagnosis…
FDA: Class I recall of LivaNova VNS Therapy SenTiva Generator
Editor's Note The Food & Drug Administration (FDA) on January 2 identified the recall by LivaNova of its VNS Therapy SenTiva Generator System as Class I, the most serious. The recall was initiated because of an unintended reset error that causes the system to stop delivering vagus nerve stimulation therapy…
Bacterial contamination of surgical scrubs worn outside the OR
Editor's Note In this study from Israel, researchers found that surgical scrubs worn outside the OR were contaminated with a low bacterial load and only a small number of pathogenic bacteria. For the study, specimens were collected at the entrance to the OR from surgical scrubs worn by 133 surgeons.…
Depuy, Zebra Medical partner on AI algorithm development
Editor's Note Johnson & Johnson’s Depuy Synthes and Israel-based Zebra Medical Vision have partnered to develop artificial intelligence (AI)-based algorithms for use in preoperative orthopedic surgical planning, the January 2 BioWorld reports. The algorithms would enable the creation of 3D models from x-ray images so that radiation risks and costs…
First-year analysis of OR Black Box study
Editor's Note In this first-year analysis of a data capture system called the OR Black Box, frequent intraoperative errors, events, variation in surgeons’ technical skills, and a high amount of environmental distractions were identified. In 132 patients having elective laparoscopic general surgery: auditory distractions occurred a median of 138 times…
Can punctuality decrease OR costs?
Editor's Note In this study from Washington University School of Medicine, St Louis, a first case on-time starts (FCOTS) improvement initiative was linked to a higher frequency of FCOTS, which was independently associated with last case on-time ends (LCOTE) and decreased OR overtime costs. Of 12,073 cases (6,095 pre- vs…
Patients prefer checklists to be completed in front of them
Editor's Note Surgery patients overwhelmingly prefer pre-surgical safety checklists to be completed in front of them, contrary to what is thought by anesthesiologists, this Swiss study finds. In this trial, which included 110 anesthesiologists and 125 non-premedicated ear-nose-throat or maxillofacial surgery patients, the patients overwhelmingly agreed that anesthesiologists should use…
