Surgery

Latest Issue of OR Manager
August 2020

Joint statement provides guidance for maintaining essential surgery during COVID-19 pandemic

Editor's Note Four national organizations have released a joint statement on maintaining essential surgical procedures as the COVID-19 pandemic continues, the American College of Surgeons (ACS) reported on August 13. The joint statement from the ACS, American Society of Anesthesiologists, AORN, and American Hospital Association, provides a list of principles…

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By: Judy Mathias
August 13, 2020
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Delays in breast cancer surgery because of COVID-19 do not appear to be life-threatening

Editor's Note A longer time from diagnosis to surgical treatment because of the COVID-19 pandemic did not lower overall survival of women with early-stage breast cancer, this study finds. In this analysis of 379,000 patients, surgical delays of more than 120 days were associated with change to a higher cancer…

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By: Judy Mathias
August 10, 2020
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ACS opposes proposed Medicare physician fee schedule

Editor's Note The American College of Surgeons (ACS) on August 4 announced that it is strongly opposed to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule proposed rule for CY 2021. In the fee schedule, which is set to take place January 1, 2021, Medicare payments will…

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By: Judy Mathias
August 6, 2020
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Nimble response required to combat COVID-19 surges

Spikes in coronavirus cases starting in late June threatened to overwhelm hospitals in several states. Utah is one such state, but steps previously taken at Intermountain Healthcare in Salt Lake City suggest the 23-hospital system will be able to manage a surge. Leaders at Inova Health System in Falls Church,…

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By: Elizabeth Wood
July 22, 2020
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Editorial

Healthcare facilities in recent months have been catching up on case backlogs caused by the COVID-19 pandemic. But new infection surges in several states have overwhelmed some hospitals, leading to renewed bans on elective procedures in Texas and Florida as of early July. The higher rates of infection are attributable…

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By: Elizabeth Wood
July 22, 2020
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Culture, communication, and clinical skills essential for ERAS success

Strategies that can achieve the aims of excellence in clinical care, fewer complications, and reduced costs are sorely needed, and the comprehensive implementation of an Enhanced Recovery After Surgery (ERAS) program can help achieve these aims in the surgical population. ERAS pathways have been found to reduce morbidity, hospital stay,…

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By: OR Manager
July 22, 2020
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Monitoring implant contracts can save millions of dollars

Orthopedic implants comprise a significant percentage of an OR’s costs, so effectively managing contracts for these items can help OR leaders in hospitals and ambulatory surgery centers (ASCs) bolster the bottom lines of their organizations. “The contract is your best mechanism to control the influx of non-anticipated items, resolve overcharges,…

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By: Cynthia Saver, MS, RN
July 22, 2020
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Preoperative protocols enhance outpatient total joint outcomes

On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…

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By: Catherine Spader, RN
July 22, 2020
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Panel issues guidelines for safe resumption of elective orthopedic surgery

Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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By: Judy Mathias
July 20, 2020
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CDC: Absenteeism increased in essential workers during March, April of COVID-19 pandemic

Editor's Note The Centers for Disease Control & Prevention (CDC) on July 10 reported that health-related workplace absenteeism rates were significantly higher than expected in March and April for some occupational groups in essential critical infrastructure categories. The following significantly exceeded their epidemic thresholds: personal care and services, including childcare…

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By: Judy Mathias
July 13, 2020
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