Editor's Note The American College of Surgeons (ACS) has partnered with Lifesaving Technologies to expand access to emergency response equipment and training across the US, the ACS announced on September 3. The collaboration builds on the ACS Stop the Bleed program, which has already trained more than 5 million people…

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What happens when a veteran perioperative leader walks away from the 24/7 responsibility of hospital operations, but not from the work she loves? For Stephanie Davis, MSHA, RN, CNOR, CSSM, former vice president of surgical services at HCA Healthcare, it meant reshaping her role from full-time healthcare executive to expert…

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Editor's Note Perioperative leaders are reshaping how surgical care is delivered, making pragmatic adjustments in the face of supply shortages, staffing constraints, and shifting surgical volume toward ambulatory surgery centers (ASCs). Together, the latest three OR Manager pulse polls reveal a profession managing high stakes with a mix of caution,…

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The migration of surgical cases from inpatient settings to ambulatory surgery centers (ASCs) continues to reshape perioperative leadership in 2025. Nationally, the trend is driven by payer incentives, patient preference, and cost pressures, with ASCs now performing more orthopedic, spine, and complex outpatient procedures than ever before. In fact, the…

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Editor's Note A malpractice case involving a 69-year-old man undergoing an endoscopy at an ambulatory surgery center (ASC) spotlights the risks of managing high-comorbidity patients outside a hospital setting. According to a May 13 report in Anesthesiology News, the patient experienced a hypoxic event that led to permanent brain injury…

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Healthcare has never been static, but today’s perioperative leaders face a unique challenge: steering teams through volatility, complexity, and rapid disruption. In a recent OR Manager webinar, Phyllis Quinlan, PhD, RN, NPD-BC, executive coach, nurse entrepreneur, and longtime advocate for caregiver resilience, offered a candid roadmap for change management in…

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Editor's Note The proposal from the Centers for Medicare & Medicaid Services (CMS) to eliminate the Medicare Inpatient Only (IPO) list over 3 years could significantly expand opportunities for ambulatory surgery centers (ASCs), with rural facilities among those positioned to benefit most, Ambulatory Surgery Center News August 12 reports. The…

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Editor's Note Standardized perioperative protocols can reduce hospital stays and costs for children undergoing surgery without affecting complication rates, JAMA Surgery August 20 reports. As detailed in this original investigation, the researchers evaluated the Minimizing Variance in Pediatric Surgery (MViPS) program, a fellow-led initiative launched in 2013 across two academic…

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Editor's Note The World Health Organization (WHO) and the Society of Robotic Surgery (SRS) have launched a joint initiative to expand equitable access to virtual care and telesurgery, according to a WHO departmental update published August 8. The partnership, formalized in July at the SRS Annual Meeting in Strasbourg, France,…

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Although hospital performance from January to April 2025 outpaced the first 4 months of 2024, according to Kaufman Hall’s June 2025 “National Hospital Flash Report,” many surgical departments remain under intense financial pressure. Labor and supply costs continue to rise, while surgical services are especially vulnerable to inefficiencies like labor…

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