Low-cost simulation helps surgical trainees practice crisis skills for major hemorrhage
Editor's Note A novel, low-cost simulation of intraoperative hemorrhage successfully challenged surgical residents and fellows to practice both technical and nontechnical crisis management skills. According to a study published in Surgery on August 19, the model replicated a lacerated vena cava bleed and allowed learners to rehearse vascular repair, teamwork,…
Nurse leaders weigh in on NCLEX pass rate decline, impact on workforce readiness
Editor's Note The NCLEX pass rate for RNs fell sharply in early 2025, but many nurse leaders see the drop as temporary rather than cause for alarm, Becker’s Hospital Review August 12 reports. The first-quarter pass rate declined to 71.6%, compared with 79.1% in the same period of 2024. The…
CMS’s newly finalized TEAM payment model holds hospitals accountable for entire surgical episodes
Editor's Note As part of the Centers for Medicare and Medicaid Services (CMS) newly issued 2026 Final Rule, the Transforming Episode Accountability Model (TEAM) will hold hospitals and health systems accountable for the entire episode of care for major surgeries, from admission through 30 days post-discharge. HIT Consultant reported the…
The Joint Commission announces accreditation overhaul
Editor's Note The Joint Commission has launched a major redesign of its healthcare accreditation and certification programs with Accreditation 360: The New Standard. According to a June 30 announcement, the new framework introduces outcome-focused performance tools, eliminates hundreds of requirements, and promises to made standards publicly accessible. Reportedly supported by…
Study: Excessive nurse overtime, agency staffing harm patients
Editor's Note Overreliance on overtime and agency nurse staffing can significantly increase the risk of pressure ulcers and, in the case of agency hours, perioperative hemorrhage or hematoma, according to research published April 2 in JAMA Network Open. Using data from 70 US hospitals between 2019 and 2022, researchers…
Healthgrades names best hospitals for patient outcomes
Editor's Note Healthgrades has announced its 2025 America's Best Hospitals Awards, recognizing the top 50, 100, and 250 hospitals in the U.S. for overall clinical performance. According to a January 28 announcement, the rankings are based on an analysis of approximately 4,500 hospitals, evaluating outcomes for more than 30 common…
Visual management supports perioperative Lean efforts
Takeaways • Visual management (VM) tools support Lean efforts, leading to improved quality and efficiency. • VM boards provide an overview of processes, facilitate problem solving, and promote staff-manager collaboration. • Other VM tools such as color coding and customized instrument trays can help reduce errors and save money. Lean…
Study: Non-operative management of pediatric appendicitis cost-effective compared to surgery
Editor's Note Non-operative management (NOM) with antibiotics for pediatric uncomplicated appendicitis is both less expensive and slightly more effective than urgent laparoscopic appendectomy over a one-year period, according to a study published November 19 in the Journal of the American College of Surgeons. The findings support the viability of NOM…
CMS final rule for CY 2025: Key updates impacting Medicare payments, quality programs
Editor's Note The Centers for Medicare & Medicaid Services (CMS) issued its final rule for the 2025 calendar year, updating payment systems and quality reporting requirements across healthcare settings, JD Supra November 19 reports. Effective January 1, 2025, the rule outlines significant changes to Medicare payments and conditions for participation…
Hospital safety grades show progress in reducing medical errors, infections
Editor's Note During the past few years, US hospitals have improved significantly in reducing healthcare-associated infections (HAIs), adhering to hand hygiene best practices, and preventing medical errors, according to the fall 2024 Hospital Safety Grades from The Leapfrog Group, a nonprofit focused on patient safety. Released November 15, the rankings…
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- Ascension swings to profit as outpatient push, cost cuts take hold
- High BMI alone did not raise early complication risk after outpatient TJA
- AAAHC report spotlights top accreditation deficiencies, strategies for safer ambulatory care
- ACS conference charts bold future for surgical quality with data, teamwork, frontline innovation
- Surgical leaders urged to weigh risks, rewards of innovation with a critical eye
- Health systems report dramatic nurse retention gains through residency, development programs
- Surgical innovation redefines what is possible for advanced colorectal cancer
- CMS proposal to end inpatient only list draws strong industry response