Joint Commission approves four new EPs for office-based surgery
Editor's Note The Joint Commission, on January 13, announced that it had approved four new elements of performance (EPs) for office-based surgery practices that prescribe medication. The EPs for Medication Management Standard MM.04.01.01, which will become effective July 1, address the following: Having a written policy that identifies specific medication…
The sharp end of safety: The fight to reduce needlestick injuries
Each December, the international medical community marks Sharps Safety Awareness Month, which serves as a powerful reminder of the significant risks from injuries caused by needlesticks and surgical sharps faced by surgeons, nurses, and other clinicians in their daily lives. Every needlestick injury incurred in the OR comes with a…
ASA, APSF issue guidance on surgery, anesthesia for COVID-19 patients who have recovered
Editor's Note The American Society of Anesthesiologists (ASA) and Anesthesia Patient Safety Foundation (APSF) issued a joint statement December 8 on performing elective surgery and anesthesia on COVID-19 patients who have recovered from the virus. The statement notes that: In general, all non-urgent procedures should be delayed until the patient…
Using advanced analytics to maximize OR utilization
Wasted room capacity is a major problem in hospital surgery departments. In most facilities, OR utilization hovers around 60%. Practically speaking, that means between one-quarter and one-third of expensive OR time is going to waste. Inefficiency at this scale is clearly a financial problem. As hospitals struggle to absorb volume…
Impact of COVID-19 on HAIs
Editor's Note To provide flexibility to healthcare workers responding to the COVID-19 crisis, the Centers for Medicare & Medicaid Services (CMS) waived reporting requirements for healthcare associated infections (HAIs) through June 2020. Using the experience of hospitals in New York City and St Louis, Missouri, the authors provide commentary on…
Consider a PSH as a post-pandemic strategy
Across the US, surgical services are estimated to comprise around 20% of national health spending and typically generate up to 70% of total health system revenue.1, 2 That makes surgical services the largest revenue generator for a hospital, supporting access to numerous other healthcare services. Considering the average hospital has…
Successful supply chain management in an ASC
With more technologically advanced procedures being performed in ambulatory surgery centers (ASCs), it’s increasingly important to monitor data on supplies and manage physician preferences for particular implants. Physicians don’t always realize that reimbursement is lower for many procedures performed in an ASC than in hospitals, and therefore they may not…
ACS: Effect of COVID-19 on surgical experience of residents, early-career surgeons
Editor's Note An American College of Surgeons survey finds a significant impact of the COVID-19 pandemic on surgical residents and early-career surgeons. Of 1,160 respondents (465 residents, 695 early-career surgeons), 96% reported the pandemic had a negative effect on their clinical experience. About one third reported inadequate access to personal…
COVID-19 testing of all children before anesthesia saves PPE
Editor's Note Universal COVID-19 testing of children before they have general anesthesia promotes efficient use of personal protective equipment (PPE), finds this study presented October 3 at the Anesthesiology 2020 annual meeting. Overall, 1,033 children who had anesthesia at Children’s Hospital of Philadelphia between March 26 and May 11, 2020,…
Healthcare employment up in September
Editor's Note US healthcare added 52,800 jobs in September for a seasonally adjusted 15, 839,600, the Bureau of Labor Statistics reported on October 2. Hospitals lost 6,400 jobs, but nursing and residential care facilities added 1,600 jobs. Ambulatory healthcare services also added jobs, including physicians (18,200), dentists (3,900), and home…
