Tag: collaboration

Perioperative medication decisions need individualized risk-benefit approach

Editor's Note Medication management in the perioperative period is often made without robust evidence, requiring clinicians to balance surgical safety with the risks of interrupting treatment, according to expert guidance presented at the annual Perioperative Medicine Summit. Paul Grant, MD, of the University of Michigan Medical School, noted most medications…

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By: Tarsilla Moura
August 14, 2025
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FDA: National IV saline shortage over after years of strained supply

Editor's Note The Food and Drug Administration (FDA) officially declared the nationwide shortage of sodium chloride 0.9% injection products over, saying a critical supply line for hospitals and surgical teams is restored. According to an August 8 statement from FDA Commissioner Martin A. Makary, MD, MPH, the resolution marks a…

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By: Tarsilla Moura
August 14, 2025
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Centralized sterile processing cuts costs, complexity for four ASCs

Once limited to hospital inpatient settings, total joint surgery is increasingly common at ambulatory surgery centers (ASCs) across the US. What is not so common is performing these complex procedures without the benefit of an onsite sterile processing department (SPD). And yet, that is exactly what we have accomplished at…

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By: Emily Arce and Lacey Dyer
August 13, 2025
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Centralized sterile processing: An ASC's journey to offsite sterilization

Editor’s Note: This page is a companion piece to the main article, Centralized sterile processing cuts costs, complexity for four ASCs.    Implementing offsite sterilization is a major project. At Total Joint Specialists, our journey began gradually, growing in scope over time as the team became comfortable with the process…

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By: Emily Arce, Lacey Dyer
August 13, 2025
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Study: Travel, staff nurses perceive workplaces similarly

Editor's Note Travel nurses and permanent staff nurses share similar perceptions of their work environments and ethical workplace climates, according to a study published in the Journal of Nursing Administration. The results challenge common assumptions about differences between these two groups and emphasize the need for nurse leaders to facilitate…

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By: Matt Danford
August 11, 2025
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Translating MIPS Value Pathways into perioperative practice—What OR leaders need to know

In July 2025, the Centers for Medicare & Medicaid Services (CMS) proposed sweeping changes to the Medicare Physician Fee Schedule for calendar year 2026. Among the most impactful updates is the launch of the Ambulatory Specialty Model (ASM)—a mandatory value-based payment program focused on heart failure and low back pain.…

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By: Tarsilla Moura
August 5, 2025
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Nurse-led safety forums strengthen escalation of care protocols

Editor's Note A recent article from Cleveland Clinic details the use of confidential staff forums to address barriers to escalating patient care concerns, resulting in greater caregiver engagement and targeted improvements. Published July 25, the article describes how nursing leaders collaborated with the Cleveland Clinic Alliance for Patient and Caregiver…

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By: Matt Danford
August 1, 2025
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July poll results: Perioperative leaders are tackling labor costs, staffing flexibility

Perioperative leaders often have to make critical decisions, not just in the middle of an operational crisis but also somewhere in the edges—the routine but still high-stakes moments where leaders need to adjust resources or absorb costs under tight constraints. The economic margin for error continues to narrow, and many…

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By: Tarsilla Moura
July 31, 2025
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Consistent staff engagement helps ASCs prevent lawsuits, spot deeper issues early

Editor's Note Regular check-ins and visible leadership can help ambulatory surgery centers (ASCs) head off legal trouble before it starts. That is the central message from employment attorney Salvatore Puccio on a recent episode of the Advancing Surgical Care Podcast, Ambulatory Surgery Center News July 23 reports. Puccio, a partner…

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By: Tarsilla Moura
July 30, 2025
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Emergency preparedness: Identifying essential supplies for unplanned surgical events

While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…

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By: Lesley Barton
July 30, 2025
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