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…
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.…
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…
Hidden head injury hazards expose cracks in OR safety culture
One of the most sobering moments in the career of anesthesiologist Cornelius Sullivan, MD, occurred not as a caretaker in the OR, but as a patient in the emergency department. Having been knocked out cold by a low-hanging monitor during a surgical procedure at Boston Children’s Hospital, he had to…
How gender norms shape perioperative nurse career paths
Before Florence Nightingale revolutionized nursing in the mid-19th century, men played the crucial role of nurses on the battlefield. However, as time passed, nursing became a female-dominated profession. Men and women received the same level of training and worked together during World War I, but the men were called orderlies…
Poor documentation, positioning top risks in perioperative malpractice cases
Editor's Note Failure to document thoroughly, position patients safely, and follow facility policies are leading causes of malpractice claims against perioperative nurses, according to an analysis published in the AORN Journal on May 28. Although physicians are more frequently named in malpractice suits, nurses are the primary provider responsible in…
Leaders translate legislative priorities to perioperative practice
The wave of new legal requirements for surgical smoke evacuation across the country has given OR leaders a crash course in how to act on any new legislation. Based on this experience, complying with other new and pending laws will put these skills to the test. Major hurdles are likely…
Waste-reduction culture, elimination of anesthetic gases slash OR emissions at USC
Editor's Note A physician-led sustainability initiative focused on waste reduction and eliminating desflurane an nitrous oxide is paying off for Keck Medicine of the University of Southern California (USC), according to a May 19 report in USC Trojan Family Magazine. The article, part of a series focused on waste…
Mistaking growth for burnout holds good leaders back
Every day, I come across postings in the media suggesting that nurses are struggling with burnout. These accusations are tone deaf and misleading. In addition to my private coaching practice, I am the professional internal coach for a trauma center in the Greater New York area and several professional nursing…
Time for a surgical skills check? Inside the ACS stance on aging physicians
Takeaways • US surgeons have no mandated retirement age. According to the Aging Surgeon Program, “a patient death or serious negative event are currently the only things that prompt action to prevent a surgeon from practicing.” • Research on aging-related decline is clear, but nuanced, showing rates and scope vary…
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