Editor's Note The Perioperative Nutrition Screen (PONS) identifies patients at greater risk of complications following pancreatic cancer surgery, according to a retrospective analysis published August 27 by Research Square. The study found that patients flagged for nutrition risk by PONS experienced longer hospital stays, higher complication rates, and were more…

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Editor's Note This October 28–30, perioperative leaders will gather in Anaheim, California, for the OR Manager Conference—the only event designed exclusively for OR, ASC, PACU, and SPD managers and directors. More than a conference, it is an immersive experience that blends education, networking, and practical solutions to help perioperative leaders…

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What happens when a veteran perioperative leader walks away from the 24/7 responsibility of hospital operations, but not from the work she loves? For Stephanie Davis, MSHA, RN, CNOR, CSSM, former vice president of surgical services at HCA Healthcare, it meant reshaping her role from full-time healthcare executive to expert…

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Editor's Note Artificial intelligence (AI) will not replace perioperative leaders, but it will demand sharper decision-making, closer collaboration, and thoughtful staff engagement, OR Manager coverage reports. AI is poised to transform perioperative practice, yet its value depends on how leaders choose, evaluate, and integrate these technologies. Key insights the article…

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Editor's Note Standardized perioperative protocols can reduce hospital stays and costs for children undergoing surgery without affecting complication rates, JAMA Surgery August 20 reports. As detailed in this original investigation, the researchers evaluated the Minimizing Variance in Pediatric Surgery (MViPS) program, a fellow-led initiative launched in 2013 across two academic…

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Editor's Note A recent article in AORN Journal underscores the need for vigilance and thorough documentation to manage postoperative mental status changes and prevent harm to both patients and staff. As detailed in the article, cognitive disturbances such as delirium and agitation can complicate recovery after surgery. Delirium is characterized…

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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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While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…

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Editor's Note Ambulatory surgery centers (ASCs) continue to face a mounting anesthesia crisis: costs are rising, staffing is tightening, and reimbursement is failing to keep pace. Anesthesia payments have dropped 8.2% over the past decade, while provider salaries have risen by as much as 40%, creating a growing financial burden…

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How would you describe the ideal OR? Whatever the answer, the chance to reimagine and reshape the perioperative suite can be among the most exciting projects of a perioperative leader’s career. However, OR construction and renovation also can be among the most daunting projects of a perioperative leader’s career. Just…

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