Many ingredients go into the recipe for patient safety, and culture is one ingredient that is often overlooked. If the perioperative culture penalizes those who call out patient safety issues and doesn’t commit to continuous quality improvement (QI), it’s likely only a matter of time before a serious error occurs.…

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Provider burnout in the OR has been a problem for years, but the COVID-19 pandemic has brought staff morale to a low point in hospitals across the US. Many OR leaders are facing staffing shortages just as demand for elective surgery is increasing. This is a significant problem for hospitals…

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First assistants (FAs) can play an important role in achieving optimal outcomes and higher surgical case volumes. Part 1 of this two-part series discussed types, education, and certification of FAs (OR Manager, May 2021, pp 1, 15-18). Part 2 answers questions related to risk management and oversight, and discusses possible…

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A global pandemic did not stop the proliferation of joint ventures between ambulatory surgery centers (ASCs) and hospitals in 2020. The trend continues in 2021, as federal regulators expand on the types of procedures that can be performed in the ambulatory setting. Hospitals are recognizing the need for a surgery…

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Surgical smoke is a complex issue that has not gained a lot of traction over the years. Legislation to mandate smoke evacuation was introduced more than 20 years ago, but the first law wasn’t passed until 2018, and only three US states thus far have enacted legislation. Release of The…

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Non-physician surgical first assistants (FAs) perform a variety of tasks—everything from closing an incision and inserting drains to harvesting veins for bypass procedures and preparing anterior cruciate ligament grafts. A significant benefit of FAs is shorter case times, which may help reduce patient morbidity and mortality and increase case volumes.…

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Most high-performing ORs share something in common—an anesthesia group that is actively engaged in perioperative leadership, takes responsibility for organizational performance, and is fully invested in the success of the OR. Unfortunately, in many ORs, anesthesia providers focus narrowly on services and procedures, not the total performance of the surgery…

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Editor's Note Patients who talk with their physicians are more likely to get vaccinated during a pandemic, finds this study of evidence collected during the H1N1 (swine flu) pandemic in 2009. In this survey of more than 19,000 people nationwide, researchers from Washington State University, Pullman, and the University of…

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Editor's Note In this study, surgical patients reported improved communication when their surgeons wore clear masks rather than standard masks in surgical outpatient clinics. This randomized trial of 200 patients in 15 surgeons’ clinics spanning seven specialties finds that when surgeons wore clear rather than standard masks, the patients rated…

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For the first time in its history, the annual OR Manager Conference was held virtually September 30 to October 2. Many things were different this year, but the robust educational content and advanced technology were the same as in previous years. In a post-conference survey, more than 60% of respondents…

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