Editor's Note A new study shows hospitals can meaningfully reduce unnecessary preoperative testing for healthy patients undergoing low-risk surgeries without compromising safety or workflow, JAMA Network October 6 reports. The “Right-Sizing Testing Before Elective Surgery” (RITE-Size) strategy successfully lowered testing rates from 68.0% to 40.3% across three Michigan hospitals, while…

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Office-based surgery (OBS) is one of the fastest-growing care settings in the US. From ophthalmology and dermatology to gastroenterology and even orthopedics, more procedures once limited to hospitals or ambulatory surgery centers (ASCs) are now being performed in medical office suites. Among many factors, the growth is being fueled by…

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Editor's Note The Joint Commission has made nurse staffing a national benchmark for hospital accreditation, formally recognizing it as a core measure of patient safety and care quality, Nurse.org October 13 reports. For the first time, hospitals must meet specific staffing standards to earn or maintain accreditation. Under the new…

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Editor's Note Surgical teams can dramatically reduce healthcare’s carbon footprint through waste reduction, energy efficiency, and smarter procurement, Cureus October 7 reports. The review’s authors describe surgery as both a major environmental challenge and a key opportunity for hospitals to align climate responsibility with clinical and financial goals. Healthcare contributes…

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Stress and burnout are more than workforce concerns; they are patient safety issues. Research shows a clear correlation between healthcare provider stress and medical errors. For instance, Zabin et al, a 2023 systematic review, confirmed that job stress negatively influences patient safety culture. Garcia & Abreu et al, a separate…

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Perioperative leaders face a workforce transition unlike any in recent memory. By 2030, all baby boomers will have reached retirement age, and many veteran perioperative nurses are already exiting, taking with them decades of institutional knowledge. At the same time, the expectations of today’s workforce have shifted, placing greater value…

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Editor's Note The Food and Drug Administration (FDA) on October 10 classified a cybersecurity correction involving Abiomed’s Automated Impella Controller as a Class I recall, the most serious type, according to the FDA Medical Device Recalls and Early Alerts database. While devices are not being removed from clinical settings, the…

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Editor's Note Introducing preassembled surgical trays sharply reduces OR waste and setup time while improving staff workflow satisfaction, Surgeries October 8 reports. The prospective study, conducted in a high-volume German urology center, compared tray-based setups with the “standard approach” for preparation across 64 procedures and found measurable ecological and operational…

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Editor's Note The Joint Commission will launch a new initiative in January 2026 to highlight high-performing practices observed during accreditation surveys, according to an October 1 release from the organization. Called Survey Analysis For Evaluating STrengths (SAFEST), the program aims to provide more balanced feedback to accredited organizations while building…

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Editor's Note A new study shows that video-language models (VLMs) can reliably evaluate nursing procedures, detect errors, and provide feedback, paving the way for scalable AI-assisted training in nursing education, Cornell University September 20 reports. The paper, titled “Automated Procedural Analysis via Video-Language Models for AI-assisted Nursing Skills Assessment”, outlines…

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