Editor's Note Unchecked surgical innovation can harm patients, derail careers, and erode trust, Bulletin of the Royal College of Surgeons of England October 31 reports. Failures to properly evaluate and monitor new or modified procedures have led to patient harm, surgeon suspensions, and even criminal convictions, per the article, which…

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Editor's Note Hospitals that succeed in surveys are those that “hardwire safety so you’re not ramping up and down,” said John R. Rosing, MHA, FACHE, executive vice president and principal of Patton Healthcare Consulting. Speaking at the OR Manager Conference, Rosing reminded perioperative leaders, “If we’re really about providing quality…

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Editor's Note Hands-on, simulation-based education can dramatically raise confidence and communication among perioperative teams learning robotic-assisted surgery, AORN Journal October 22 reports. The article profiles how one nurse leader at Duke University Hospital built a comprehensive robotics training program that helped staff achieve near-total confidence in managing robotic systems safely…

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Editor's Note Seattle Children's Hospital is tying ambient AI return on investment (ROI) to real money by targeting burnout, retention, and documentation burden to avoid multimillion-dollar turnover costs and lift data quality, HealthLeaders October 21 reports. Per the outlet, Seattle Children’s is expanding Abridge’s ambient AI across 18 pediatric specialties…

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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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Editor's Note Beginning October 1, the Food and Drug Administration (FDA) is mandating that all De Novo classification requests be submitted electronically using its eSTAR system, according to a final rule and guidance issued by the agency. As detailed in the September 30 release, the shift marks a procedural change…

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Editor's Note Elective surgical procedures such as cholecystectomy and hernia repair can be performed safely in carefully selected patients with cirrhosis, but high-risk individuals still need alternatives, according to an updated American College of Gastroenterology guideline, Medscape October 3 reports. The guideline emphasizes individualized risk stratification that integrates liver disease…

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Editor's Note Most newly licensed nurses require about 12 months before they can practice autonomously, a HealthLeaders September 8 analysis reports. The article highlights findings from a recent National Council of State Boards of Nursing (NCSBN) study of 200 nurses, 74% of whom reported that a full year was necessary…

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Editor's Note Standardized perioperative protocols can reduce hospital stays and costs for children undergoing surgery without affecting complication rates, JAMA Surgery August 20 reports. As detailed in this original investigation, the researchers evaluated the Minimizing Variance in Pediatric Surgery (MViPS) program, a fellow-led initiative launched in 2013 across two academic…

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While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…

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