Editor's Note High-volume joints and spine procedures in ambulatory surgery centers (ASCs) require more than a “healthy” patient—success hinges on rigorous screening, block-and-flow efficiency, tech-enabled standardization, and a culture where anyone can say “stop,” this session’s speakers said. Comprising Robert Bray, MD, FAANS, CEO and founding director of DISC Sports…

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Effective communication is the foundation of patient safety in the modern surgical environment. Most surgical procedures depend on seamless collaboration among surgeons, nurses, surgical technologists, and anesthesiologists, and when communication breaks down, patient risk rises sharply. In 2024, the American College of Surgeons reported standardized surgical handoffs improved adherence to…

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Editor's Note Robotic-assisted cardiac surgery is reshaping the field, enabling safer, less invasive procedures once deemed too complex for minimal-access techniques, the American College of Surgeons October 1 reports. Advances in high-definition visualization, wristed instruments, and surgical control are allowing cardiothoracic teams to perform intricate repairs through incisions often smaller…

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Editor's Note Lock in system-level wins fast. The 2025 OR Manager Conference is right around the corner (October 28–30 in Anaheim, California), and it is loaded with how-to sessions that turn ideas into throughput, revenue, and workforce results you can bring home in Q4. This year’s agenda centers on pragmatic,…

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Editor's Note University of California San Francisco (UCSF) surgeons and researchers presented a wide range of original work at the American College of Surgeons’ 2025 Clinical Congress in Chicago, held October 4–7. According to an October 7 article published by UCSF, the meeting featured topics from perioperative opioid stewardship and…

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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 Physician independence continues to decline as hospitals, insurers, and private equity firms expand their ownership of medical practices, according to a US Government Accountability Office (GAO) report published on September 22. The report found that 47% of physicians were employed by or affiliated with hospital systems in 2024,…

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Editor's Note Hiring for spinal procedures are tightening and consolidation is accelerating, reshaping where and how ambulatory surgery centers (ASCs) secure talent, Becker’s Spine Review October 3 reports. A mounting orthopedic shortage exceeding 5,000 by year-end is making spine one of the hardest specialties to recruit, with timelines stretching and…

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Editor's Note Surgeons across multiple disciplines are confronting a distinct wound pattern tied to xylazine-contaminated opioids and adapting management to avoid unnecessary amputations, the American College of Surgeons October 1 reports. These wounds can resemble necrotizing soft tissue infection at first glance, yet the clinical picture and trajectory differ, calling…

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Editor's Note Training with surgical preference cards significantly lowers anxiety and strengthens clinical competence among OR nursing students, according to a randomized controlled trial published in BMC Medical Education on October 2. The study enrolled 60 OR nursing students in Iran between 2023 and 2024. Students were randomly assigned to…

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