Editor's Note Researchers at MIT and Massachusetts General Hospital (MGH) have developed statistical models to improve how anesthesiologists manage unconscious pain, or nociception, during surgery, according to a September 23 report in News Medical. Derived from over 18,000 minutes of surgery data across 101 abdominal procedures, the models aim to…
Editor's Note Beth Chrismer, MSN, RN, CPHRM, former director of clinical excellence at CHRISTUS Good Shepherd Health System, shared insights into a tragic workplace violence incident that occurred in 2013 at a Texas ambulatory surgery center (ASC) at last year’s OR Manager Conference. Chrismer was risk manager at the time…
Human trafficking (HT) is a hidden-in-plain-sight crime—victims walk among the public at large, yet they remain essentially invisible. Lack of education and knowledge on HT and anti-trafficking measures is particularly egregious in healthcare. In fact, the literature shows the majority of people being trafficked access the system without being identified…
Takeaways Providers are generally seeking to reduce use of travelers through strategies such as float pools, training programs, and cultural reforms. However, travelers remain useful as a bridge to permanent staff and for difficult-to-fill positions. Best practices for selection, onboarding, team integration, and performance evaluation are essential for maximizing return…
Editor's Note Tubal sterilization, often considered a permanent form of contraception, has a failure rate of 3% to 5%, leading to unplanned pregnancies in some cases, UC San Francisco reported August 27. Publishing in NEJM Evidence, university researchers report that contraceptive arm implants or intrauterine devices (IUDs) may be more reliable…
Editor's Note Often exceeding federal safety limits, OR noise contributes significantly to communication breakdowns, heightened cognitive load, and increased surgical errors, according to a review of literature published September 17 in Cureus. Identified noise sources include surgical instruments, alarms, and staff conversations, which can reach up to 120 decibels (dBA)—a…
Editor's Note Confusion about the scope of practice for Certified Registered Nurse Anesthetists (CRNAs) prompted The California Department of Public Health to update guidelines for acute care hospitals, MedPage Today reported September 18. Issued after violations at two Modesto hospitals resulted in hundreds of cancelled surgeries, a letter from the…
Editor's Note The US Food and Drug Administration (FDA) has designated the recall of Smiths Medical’s Bivona Neonatal/Pediatric and Adult Tracheostomy tubes as a Class 1, the most severe category indicating risk of serious injury or death. According to the agency’s September 18 report, the recall is due to a…
Editor's Note Research shows antibiotic-resistant infections could lead to 8.2 million deaths annually by 2050, representing a 75% increase from current rates, according to a September 17 article in HealthDay. Published in the Lancet, the new study highlights the growing threat of growing threat of antimicrobial resistance (AMR), predicting that…
Editor's Note An analysis of two phase-III trials showed adjuvant administration of nivolumab (Opdivo) plus chemotherapy reduces the risk of recurrence or death in patients with resectable non-small cell lung cancer (NSCLC) by 40% compared to neoadjuvant nivolumab plus chemotherapy alone, Medpage Today reported September 9. "With the caveat that…