Surgery

Latest Issue of OR Manager
April 2021

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…

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By: Judy Mathias
March 25, 2021
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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…

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By: Judy Mathias
March 24, 2021
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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…

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By: Elizabeth Wood
March 19, 2021
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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,…

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By: Austin Trout
March 19, 2021
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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…

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By: Jennifer Lubell
March 19, 2021
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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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By: Judy Mathias
March 10, 2021
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Frequency of urgent, emergent vitreoretinal surgical procedures during COVID-19

Editor's Note This multi-center study finds that critical vitreoretinal surgical procedures deemed as urgent or emergency decreased nationwide from March until May 2020, even though the American Academy of Ophthalmology said these procedures should continue during the COVID-19 pandemic. Data were collected from 17 institutions throughout the US. Compared to…

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By: Judy Mathias
March 4, 2021
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Joint Commission extends reduced volume requirements for advanced stroke certification programs

Editor's Note The Joint Commission on March 3 announced that it is extending the reduced volume eligibility requirements for its advanced Thrombectomy-Capable Stroke Center (TSC) and Comprehensive Stroke Center (CSC) certification programs through May 31 because the number of patients seeking care for strokes continues to vary because of COVID-19.…

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By: Judy Mathias
March 4, 2021
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Bundled payments with copay waivers reduce surgery costs for patients, payers

Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…

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By: Judy Mathias
March 2, 2021
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Strong new tactics to support COVID-19 financial recovery

The end of the COVID-19 pandemic is in sight, but hospital surgery departments will not likely see a rapid return to normal. Since the start of the pandemic, perioperative leaders have had to stay flexible and act quickly. Over the next 12 months, OR leaders will need to reassess the…

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By: Jeffry A. Peters, MBA
February 17, 2021
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