Large-scale studies link preoperative cognition to delirium risk, reveal its deadly toll after surgery
Editor's Note Older surgical patients with preoperative cognitive impairment face significantly higher odds of developing postoperative delirium (POD), and POD itself is tied to markedly worse surgical outcomes, according to two major studies published July 2025. Together, the findings point to delirium as both a high-impact and potentially modifiable target…
Robotic surgery shows better outcomes in select emergency colorectal cases, poised for wider use
Editor's Note Robotic-assisted surgery is proving to be a strong option for emergency colorectal procedures, offering lower complication rates, shorter hospital stays, and fewer conversions to open surgery than conventional approaches. According to a July 23 article from the Journal of the American College of Surgeons, this approach—long established in…
Report: Sicker surgical patients fared better post-pandemic
Editor's Note Hospitals achieved a substantial reduction in mortality risk for surgical inpatients between 2019 and 2024, even as patients grew sicker and stayed longer, according to a report released August 5 by the American Hospital Association (AHA) and Vizient. In the first quarter of 2024, hospitalized surgical patients were…
Study: Medicare Advantage surgical episodes cost less, achieve similar quality as traditional Medicare
Editor's Note Medicare Advantage (MA) patients undergoing elective surgery incurred lower costs than comparable patients in traditional Medicare (TM) without higher readmission rates and with no significant difference in mortality rates, according to a study published August 1 in JAMA Health Forum. The findings suggest that MA plans reduce surgical…
GLP-1 drugs show promise for preoperative weight loss
Editor's Note Glucagon-like peptide-1 (GLP-1) receptor agonists may offer orthopedic patients with obesity and type 2 diabetes a powerful tool for preoperative weight loss and potential disease modification, according to a July 10 review article in The Journal of Bone and Joint Surgery. However, the agents carry perioperative risks that…
Reframing the surgical time out to fight complacency, improve outcomes
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,…
Spotlight on safety: Call for renewed vigilance on National Time Out Day
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,…
ASC improves hospital efficiency, maintains outcomes despite higher-acuity joint replacement patients
Editor's Note Opening a hospital-affiliated ambulatory surgery center (ASC) can shift healthier patients out of the hospital without compromising outcomes for those who remain, according to a new study published in the Journal of the AAOS Global Research & Reviews in April 2025. The retrospective analysis from Luminis Health Anne…
Time for a surgical skills check? Inside the ACS stance on aging physicians
Takeaways • US surgeons have no mandated retirement age. According to the Aging Surgeon Program, “a patient death or serious negative event are currently the only things that prompt action to prevent a surgeon from practicing.” • Research on aging-related decline is clear, but nuanced, showing rates and scope vary…
Preadmission clinics drive better surgical outcomes, lower costs, fewer cancellations
Editor's Note Preadmission clinics (PACs) are supporting perioperative care by reducing complications, shortening hospital stays, and improving surgical outcomes—particularly for high-risk patients. As detailed in the April 2025 edition of ASA Monitor from the American Society of Anesthesiologists (ASA), PACs operate as multidisciplinary outpatient hubs where medical optimization, risk assessment,…
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- Large-scale studies link preoperative cognition to delirium risk, reveal its deadly toll after surgery
- Socioeconomic deprivation linked to lower fitness before surgery, UK study finds
- Perioperative medication decisions need individualized risk-benefit approach
- FDA: National IV saline shortage over after years of strained supply
- FDA announces Class 1 recall for Draeger breathing filters
- Hospital CEO departures surge, boards turn to interim leadership
- Study: Attire shapes patient trust, perceptions
- ASC drill success hinges on preparation, adaptability, clear roles
- Robotic surgery shows better outcomes in select emergency colorectal cases, poised for wider use
- 5 costly mistakes to avoid when building an ASC