Editor's Note This study by researchers from Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, finds that preoperative surgeon intuition is an independent predictor of postoperative complications, but it isn’t as strong as the predictive power of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)…

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Editor's Note This study from the University of Pittsburgh finds that preoperative frailty screening was associated with significantly reduced 1-year postoperative mortality. A total of 50,463 patients (22,722 before implementation of a frailty assessment initiative and 27,741 after implementation) with at least 1-year of postoperative follow-up were included in the…

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Editor's Note This study from the University of Pittsburgh finds that telemedicine can be used safely and effectively for bariatric surgical patients’ preoperative care. A total of 1,182 patients (telemedicine visit group, 257 vs in-person visit controls, 925) were included in the analysis. The telemedicine group was found to be…

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Editor's Note This study, led by researchers at the University Medical Center Utrecht in the Netherlands, finds that a liberal preoperative fasting policy allowing adults scheduled for general anesthesia to drink clear fluids until arrival in the OR was associated with reduced fasting duration and improved patient well-being with regard…

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GENERAL Disclaimer: The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy of the Department of Defense or the US Government. Developing OR nurses for the future is a goal of all OR managers. Orientation programs can vary depending on the…

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Editor's Note This study from Washington University School of Medicine, St Louis, finds that a multicomponent safety intervention, consisting of patient education, home medication review, and hazard identification in the home environment, was not associated with reductions in falls during the first year after an elective inpatient surgical procedure, but…

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The American Academy of Orthopaedic Surgeons projects that total hip replacement (THR) and total knee replacement (TKR) procedures will increase to 635,000 and 1.28 million, respectively, by 2030. That leads to a tremendous amount of Episode of Care opportunities. How can we as clinicians ensure the best possible experience for…

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After more than a year in hiatus, OR Manager Conference was held in October 2021 in Chicago, bringing together hundreds of attendees, speakers, and exhibitors. After the live conference, OR Manager sat down with Cindy Kildgore, education coordinator for the OR Manager Conference; Amy Bethel, education coordinator for the OR…

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Editor's Note This study from the Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, Ohio, finds that patients residing in vulnerable communities characterized by a high social vulnerability index (SVI) had worse postoperative outcomes, and the impact was most pronounced in Black/minority patients. In this analysis…

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The new year is just around the corner, and it will bring new challenges for OR leaders as well as fresh opportunities to improve clinical, financial, and operational performance. The typical surgery department is a “target-rich environment”: low utilization, long turnover times, inefficient charge capture, poor documentation, high supply costs,…

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