Editor's Note Older surgical patients with preoperative cognitive impairment face significantly higher odds of developing postoperative delirium (POD), and POD itself is tied to markedly worse surgical outcomes, according to two major studies published July 2025. Together, the findings point to delirium as both a high-impact and potentially modifiable target…

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Editor's Note Running effective emergency drills in ambulatory surgery centers (ASCs) requires strategic resource use, role clarity, and consistent adaptation, Texas Ambulatory Surgery Center Society July 8 reports. Drawing on insights from Laura Schneider, senior clinical director at AMSURG, the piece outlines practical steps to ensure ASCs can respond effectively…

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Editor's Note Poor planning and rushed decisions derail too many ambulatory surgery centers (ASCs) before they open their doors. In a recent blog post, ASC consultant Emily Spooner outlined the top five errors commonly made during ASC development, offering targeted guidance on how to avoid them. According to the post,…

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In July 2025, the Centers for Medicare & Medicaid Services (CMS) proposed sweeping changes to the Medicare Physician Fee Schedule for calendar year 2026. Among the most impactful updates is the launch of the Ambulatory Specialty Model (ASM)—a mandatory value-based payment program focused on heart failure and low back pain.…

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Editor's Note Designating underused neurosurgery blocks for straightforward ENT procedures increased surgical volume and reduced wait times at UCSF Benioff Children’s Hospital San Francisco, according to a July 3 report from the Children’s Hospital Association’s 2025 Transforming Quality Conference. The initiative began in early 2024, when ENT leaders and surgical…

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Editor's Note The nursing profession has an unprecedented opportunity to redesign systems, influence policy, and elevate care—but only if we can shift from traditional models to a future-focused mindset. That's the message of this exclusive preview of the 2025 OR Manager Conference opening keynote with Dan Weberg, PhD, MHI, RN,…

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Editor's Note A robust scheduling model can significantly improve OR efficiency and stability when surgery and recovery times are unpredictable, according to research published in the journal Mathematics. Using a Genetic Algorithm for Robust Scheduling (GARS), the authors demonstrate a practical and computationally efficient method for minimizing makespan across a…

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Editor's Note This fall, the OR Manager Conference will bring outpatient and postanesthesia care innovation to the forefront with its dual spotlight on poster presentations and leadership awards. Both initiatives emphasize the evolving needs and accomplishments of perioperative teams in ambulatory surgery centers (ASCs) and postanesthesia care units (PACUs), offering…

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Editor's Note On this National Time Out Day, perioperative leaders are being called to reinvigorate the time-out process to combat complacency and reduce adverse events. Despite decades of safety initiatives, the adverse event rate in surgical care remains high—38% of perioperative cases, with nearly half tied directly to surgical procedures,…

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Editor's Note Wrong-site surgeries are on the rise, and insufficient surgical time outs are a key contributor, according to new data highlighted by AORN on June 10 in honor of this year’s National Time Out Day on June 11. Based on The Joint Commission’s Sentinel Event Data 2023 Annual Review,…

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