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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In the OR, precision and focus can mean the difference between life and death. However, surgical patient outcomes hinge on more than the competence of those working in these inherently intense environments. Every procedure also depends on the laborious, behind-the-scenes efforts of the people responsible for ensuring every surgical instrument…

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Editor's Note Recognizing hospitals that excel at providing top-quality care while preventing serious safety events, Healthgrades’ 2025 Patient Safety Excellence Awards distinguish 442 hospitals in 40 different states. Announced March 11, the awards are based on inpatient MedPAR data from 2021 to 2023. Recognized hospitals must meet clinical quality thresholds,…

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Takeaways • Visual management (VM) tools support Lean efforts, leading to improved quality and efficiency. • VM boards provide an overview of processes, facilitate problem solving, and promote staff-manager collaboration. • Other VM tools such as color coding and customized instrument trays can help reduce errors and save money. Lean…

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Editor's Note Artificial intelligence (AI) enabled technologies present the greatest technology risk to healthcare organizations in 2025, according to the latest list from ECRI, a nonprofit organization dedicated to safety in the industry. As detailed in the organization’s December 4 announcement, the annual report highlights critical risks that healthcare organizations…

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Editor's Note The US Food and Drug Administration’s (FDA’s) Center for Devices and Radiological Health (CDRH) has initiated a pilot program to improve the speed of public notifications regarding high-risk medical device recalls. According to a November 21 announcement, this initiative aims to minimize the time between the FDA's awareness…

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Editor's Note According to this report published by The Leapfrog Group this month, hospitals in the US have significantly improved hand hygiene compliance, with 74% meeting the Leapfrog Hand Hygiene Standard in 2023, up from 11% in 2020. Among other factors, the report attributes this improvement to increased use of…

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Editor's Note Findings published in the Journal of the American College of Surgeons show how a standardized handoff protocol can improve OR communication and reduce the risk of error, Medical Xpress reported on June 19. The study focused specifically on SHRIMPS, a standardized handoff protocol developed by the quality improvement…

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Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…

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