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,…
Report: Global nurse shortage widens inequities, fuels migration risks
Editor's Note Wealthy nations continue to draw nurses from poorer countries, worsening fragile healthcare systems and deepening global inequities, according to the newly released State of the World’s Nursing 2025 report from the World Health Organization (WHO) and International Council of Nurses (ICN). As detailed in a May 12 article…
Study shows WHO surgical checklist boosts safety, but compliance gaps risk patient outcomes
Editor’s Note Tertiary hospitals are embracing the World Health Organization (WHO) Surgical Safety Checklist (SSC), yet inconsistent compliance—especially during time-out—exposes patients to avoidable risks, Cureus April 29 reports. In this study, the researchers found that while overall integration of the SSC is promising, there were compliance gaps particularly in pre-incision…
How dialogue, data bridge the OR-SPD information gap
In the OR, precision and focus can mean the difference between life and death. However, surgical patient outcomes hinge on more than the competence of those working in these inherently intense environments. Every procedure also depends on the laborious, behind-the-scenes efforts of the people responsible for ensuring every surgical instrument…
Visual cues, education boost hand hygiene compliance
It is often said that small actions lead to big results. This so happens to be the case with hand hygiene compliance (HHC) in healthcare. Imagine a simple act, like washing hands, cutting infection rates by half—hospital-acquired infections (HAIs) and surgical site infections being reduced simply by improving handwashing behaviors.…
House report criticizes COVID-19 pandemic response, calls for reform
Editor's Note A Republican-led House subcommittee investigating the COVID-19 pandemic released a 520-page final report summarizing its two-year inquiry, outlining recommendations for future pandemic preparedness and critiquing both US and global responses to the crisis. CNN reported the news December 2. The report concludes that COVID-19 most likely emerged from…
Outbreaks of mpox, seasonal respiratory virus concern health organizations
Editor's Note The World Health Organization (WHO) has declared the ongoing mpox outbreak in Africa a global health emergency, according to a CNN article published a day after the Centers for Disease Control and Prevention (CDC) warned about increasing activity for seasonal respiratory virus parvovirus B19. WHO issued the emergency…
Study: Debriefing documentation improves OR communication
Editor's Note A study published August 6 in the journal Surgery highlights the impact of structured debriefing tools on improving communication and patient safety in the OR during the COVID-19 pandemic. Conducted over three years, the study implemented a new electronic health record (EHR) module to document surgical debriefings and…
State of the huddle: The barriers to and benefits of preop meetings
Complex problems do not always require complex solutions. Consider the surgical safety checklist. In 2020, more than a decade after the World Health Organization (WHO) started advocating that every hospital use the checklist, research from PSNET found that more than 90% of ORs in countries with a high human development…
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