Tag: documentation

Endoscopy case highlights risks of complex patients in ASCs

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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By: Tarsilla Moura
September 2, 2025
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Nurse legal literacy protects practice, empowers practitioners

Know the law. It could save your patients’ lives and your staff members’ practices. This is the advice of several medical legal experts to OR leaders to prevent lapses in patient protections that risk injury or even death. Beyond ensuring safe surgery and preventing litigation, perioperative nursing experts who advance…

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By: Carina Stanton
August 27, 2025
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2026 ICD-10 updates bring hundreds of new codes, new complexity

Editor's Note Healthcare providers, payers, and analytics teams face sweeping ICD-10 changes this fall, with the 2026 code updates taking effect October 1, 2025, Wolters Kluwer July 14 reports. The release includes 614 new codes, 12 invalidations, 642 billability changes, 88 terminology revisions, and the creation of an entirely new…

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By: Tarsilla Moura
August 21, 2025
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How ASCs ace the AAAHC accreditation survey

For an ambulatory surgery center (ASC), earning accreditation can be more than a mark of excellence. The Accreditation Association for Ambulatory Health Care (AAAHC) offers Medicare Deemed Status Accreditation, eliminating the need for separate surveys to certify compliance with the Conditions of Participation (CoPs) required by the Centers for Medicare…

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By: Uyen Vo
August 6, 2025
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Key tactics for OR emergency readiness: Supply audits, team drills

Editor’s Note: This page is a companion piece to the main article, Emergency preparedness: Identifying essential supplies for unplanned surgical events. While the main article outlines the principles of emergency readiness and supply preparation in the OR, the posts below offer a closer look at two key implementation areas: Supply…

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By: Lesley Barton
July 30, 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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Nurse-focused EHR training aims to cut burnout and prep for AI future

Editor's Note Epic has introduced a free training program to help nurses and medical assistants reduce time spent using electronic health records (EHRs), addressing a key factor contributing to widespread burnout. According to a recent article in Fierce Healthcare, the Nursing SmartUser classes launched during National Nurses Week and aim…

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By: Matt Danford
July 1, 2025
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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…

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By: Tarsilla Moura
June 17, 2025
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