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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Editor's Note Burnout does not begin with exhaustion, but with misalignment, said burn and critical care surgeon Neha Amin, DO, FACS, NBC-HWC, founder of Balance and Breakthrough and Renewal Wound Care Centers based outside Atlanta, during her personal and pragmatic keynote. According to Dr Amin, burnout follows a clear trajectory—from…

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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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Office-based surgery (OBS) is one of the fastest-growing care settings in the US. From ophthalmology and dermatology to gastroenterology and even orthopedics, more procedures once limited to hospitals or ambulatory surgery centers (ASCs) are now being performed in medical office suites. Among many factors, the growth is being fueled by…

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Healthcare has never been static, but today’s perioperative leaders face a unique challenge: steering teams through volatility, complexity, and rapid disruption. In a recent OR Manager webinar, Phyllis Quinlan, PhD, RN, NPD-BC, executive coach, nurse entrepreneur, and longtime advocate for caregiver resilience, offered a candid roadmap for change management in…

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Although hospital performance from January to April 2025 outpaced the first 4 months of 2024, according to Kaufman Hall’s June 2025 “National Hospital Flash Report,” many surgical departments remain under intense financial pressure. Labor and supply costs continue to rise, while surgical services are especially vulnerable to inefficiencies like labor…

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Editor's Note Travel nurses and permanent staff nurses share similar perceptions of their work environments and ethical workplace climates, according to a study published in the Journal of Nursing Administration. The results challenge common assumptions about differences between these two groups and emphasize the need for nurse leaders to facilitate…

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Editor's Note A recent article from Cleveland Clinic details the use of confidential staff forums to address barriers to escalating patient care concerns, resulting in greater caregiver engagement and targeted improvements. Published July 25, the article describes how nursing leaders collaborated with the Cleveland Clinic Alliance for Patient and Caregiver…

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Perioperative leaders often have to make critical decisions, not just in the middle of an operational crisis but also somewhere in the edges—the routine but still high-stakes moments where leaders need to adjust resources or absorb costs under tight constraints. The economic margin for error continues to narrow, and many…

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Before Florence Nightingale revolutionized nursing in the mid-19th century, men played the crucial role of nurses on the battlefield. However, as time passed, nursing became a female-dominated profession. Men and women received the same level of training and worked together during World War I, but the men were called orderlies…

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