Editor's Note High-level disinfection (HLD) fails to reliably eliminate harmful microbes from flexible endoscopes in real-world healthcare settings, according to a review of endoscope processing effectiveness published April 8 in the American Journal of Infection Control. The review highlights routine breaches in cleaning protocols and links contaminated endoscopes to numerous…

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Editor's Note Safety organizations are raising concerns amid increased reports of improper needle use causing vial coring, leading to potential contamination and patient risk. Published April 4 by the Anesthesia Patient Safety Foundation (APSF) and ECRI/Institute for Safe Medicine Practices (ISMP), the alert offers interim guidelines to reduce risks associated…

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Editor's Note Stepping into a leadership role in the OR is both exciting and demanding. From budgeting and performance metrics to staffing and scheduling, there is a lot to navigate right from day one. To help new leaders step into their roles with confidence—and to offer fresh insights for seasoned…

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Editor's Note A systematic review found no strong evidence that compliance with the CMS Severe Sepsis and Septic Shock Management Bundle (SEP-1) reduces mortality, raising questions about its inclusion in hospital performance measures, according to a February 19 report from the University of Minnesota’s Center for Infectious Disease Research and…

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Editor's Note A newly developed predictive model offers healthcare professionals a dynamic tool to assess the risk of nosocomial infections (NIs) in patients following colon cancer surgery, potentially improving early intervention strategies. Published February 27 in Frontiers in Oncology, the study introduces a nomogram—a statistical model that visualizes key risk…

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Reduced costs, faster recovery, and other advantages can make outpatient surgical procedures more convenient for providers and patients alike. Ambulatory surgery centers (ASCs) are incredibly safe, but a lot of work goes into infection control. Cross-trained staff often wear many hats, and limited budgets may not leave room for dedicated…

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From sharps and blood-soaked surgical instruments to discarded anesthetic agents, biohazardous waste from ORs can threaten human health and the environment. In addition, failure to adhere to regulatory requirements can result in significant fines. However, the volume and diversity of biohazardous waste can create challenges with managing this material. Mitigating…

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Editor's Note A cohort study published February 24 in JAMA Pediatrics found that prophylactic antibiotics reduced the odds of surgical site infections (SSIs) by 72% in children undergoing cholecystectomy for uncomplicated cholelithiasis. However, extended-spectrum antibiotics offered no additional benefit over cefazolin, suggesting that simpler prophylaxis protocols could optimize outcomes while…

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Editor’s Note Pregnancy complications—including life-threatening sepsis—surged in Texas after the state banned abortion in 2021, according to a ProPublica analysis of seven years’ worth of state hospital data. In a February 20 report, the outlet details how sepsis rates for women hospitalized after second-trimester pregnancy loss rose by more than…

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Editor's Note A large international clinical trial found that incisional negative pressure wound therapy (iNPWT) does not reduce surgical site infections (SSIs) following emergency laparotomy. The SUNRRISE trial, conducted across 34 hospitals in the UK and Australia and published January 27 in Jama Network, randomized 821 patients to receive either…

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