'Coming clean' in the SPD requires collaboration and competency—Part 1
Contaminated surgical instruments made ECRI Institute’s 2019 annual top 10 list of health technology hazards, coming in at number five: “Mishandling flexible endoscopes after disinfection can lead to patient infections.” Number two on the list in 2018 was “Endoscope reprocessing failures continue to expose patients to infection risk.” It’s not…
Prioritizing patient safety unites and empowers OR team—Part 2
Several never events at The Medical Center of Aurora (TMCA) in Aurora, Colorado, over a 1-year period prompted leaders there to launch patient safety first (PSF) initiatives. Part 1 of this series discussed how these initiatives were identified and implemented, and the importance of evidence-based communication tools (OR Manager, March…
Protective garments get makeover in new cleaning protocol
Surgical site infections are multifactorial, and perioperative leaders often struggle with how to reduce or eliminate them. In 2013, after an unexplained increase in surgical site infections (SSIs) among patients undergoing total hip arthroplasty at our facility, we began to investigate the cause. A fairly robust ERAS (enhanced recovery after…
OSA screening boosts patient safety and bottom line
Editor's Note: For more recent data on obstructive sleep apnea care, risk factors, and resources, see the article, "Blast from the past: Revised data, evolving standards for OSA care in the perioperative setting," published in July 2025. An estimated 22 million people in the US have obstructive sleep apnea…
Prioritizing patient safety unites and empowers OR team—Part 1
Communication breakdowns in the perioperative environment are a factor in 70% of events that adversely affect patients. Sometimes those breakdowns occur because OR staff are reluctant to voice their concerns in an environment that is hierarchical and intimidating. However, when an organization adopts patient safety first (PSF) initiatives, adverse outcomes…
FDA: Class I recall of BD Vacutainer® blood collection tubes
Author's Note The Food & Drug Administration on March 23 announced the Class I recall of Becton Dickinson (BD) Vacutainer® EDTA (ethylenediaminetetraacetic acid) blood collection tubes with lavender, tan, pink, and green rubber tube stoppers. Class I recalls are the most serious. The recall was initiated because of a chemical…
Adding new business to the ASC, one procedure at a time—Part 3
Total joint procedures are gradually moving to ambulatory surgery centers (ASCs) as technology, medical expertise, and cost pressures combine to make the ASC an increasingly attractive alternative to an acute care hospital. The key to success for these and other complex procedures, experts say, is a combination of careful planning,…
Adding new business to the ASC, one procedure at a time—Part 2
Aging and active Americans are refusing to let back problems slow them down—the number of these patients is increasing, and they prefer the less invasive outpatient methods offered in ambulatory surgery centers (ASCs). So do their physicians. As a result, ASCs seeking to adopt new procedures are looking more closely…
Process improvements raise SPD standards and quality
When audits revealed areas of deficit in the sterile processing departments (SPDs) of the Memorial Hermann Health System in Houston, leaders pulled together a team to help implement a quality improvement plan. By analyzing and standardizing their processes, creating auditing tools, and educating staff, they significantly increased quality scores throughout…
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- Community Health Systems sells Crestwood Medical Center to Huntsville Hospital Health System
- Cleveland Clinic’s Main Campus begins scheduling Saturday elective surgeries
- ECRI lists its Top 10 Health Technology Hazards for 2026
- Sutter Health to open first Modesto ASC as part of larger outpatient complex
- Ascension CEO speaks about AmSurg acquisition
- TriasMD opens seventh ASC
- Five orthopods establish Hand, Wrist & Elbow Institute at Midwest Orthopaedics at Rush
- Allegheny Valley Hospital opens expanded inpatient rehabilitation unit
- TV station reports instrument concerns at St. Louis hospital
- Medical assistant’s personal experience helps anxious heart failure patients process their situations