Editor's Note Hospitals are bracing for service reductions as anesthesia staffing shortages collide with reimbursement cuts, Modern Healthcare October 14 reports. Executives and staffing experts see mounting financial strain that could limit patient access and stall growth plans, with rural facilities most exposed. As detailed in the article, systems continue…

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Editor's Note Introducing preassembled surgical trays sharply reduces OR waste and setup time while improving staff workflow satisfaction, Surgeries October 8 reports. The prospective study, conducted in a high-volume German urology center, compared tray-based setups with the “standard approach” for preparation across 64 procedures and found measurable ecological and operational…

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Editor's Note Fewer than one in ten older adults undergoing major elective surgery complete advance care planning (ACP), but a new multisite randomized trial aims to change that. According to a September 23 article published by BMJ Open, the study design for the I CAN DO Surgical ACP trial has…

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Editor's Note Artificial intelligence (AI) is rapidly reshaping nursing informatics and clinical practice, improving patient monitoring, care planning, and workflow efficiency, yet both opportunities and risks are mounting. According to March 2025 reviews published in International Nursing Review and in Frontiers in Digital Health, AI integration promises significant gains in…

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Editor's Note Allowing older surgical patients to keep dentures, glasses, and hearing aids until anesthesia and restoring them immediately afterward significantly lowered postoperative delirium (POD) rates, according to a study published in BMC Geriatrics on August 30. The prospective before-and-after trial followed patients aged 70 and older undergoing hip fracture…

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Editor's Note Sterile processing departments (SPDs) face chronic staffing shortages and underinvestment that put surgical patients at risk, according to a Surgical Directions September 18 report. It emphasizes that sterile processing technicians, who decontaminate, inspect, and sterilize every surgical instrument, remain under-recognized despite their central role in surgical safety. Per…

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Editor's Note Patients with BMI 40 or higher had similar 24-hour and 1–90 day complication rates to lower-BMI patients after primary total joint arthroplasty (TJA) performed at an academic ambulatory surgery center (ASC), an August 25 article from The Journal of Arthroplasty reports. The study retrospectively analyzed 2,367 primary THA…

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Editor's Note Innovation is transforming surgical care faster than most institutions can keep pace, but leaders must distinguish between investments that advance patient care and those that add cost without meaningful benefit. That is the central message from a September 8 Harvard Medical School article featuring insights from Jon O.…

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Takeaways • Robot-assisted surgery (RAS) is now an option in many specialties and for adult and pediatric patients; RAS-related ethical issues include access and patient privacy. • Intuitive Surgical continues to dominate the marketplace, but many companies are working on expanding their range of options. • Some current trends and…

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Editor's Note Healthcare providers, payers, and analytics teams face sweeping ICD-10 changes this fall, with the 2026 code updates taking effect October 1, 2025, Wolters Kluwer July 14 reports. The release includes 614 new codes, 12 invalidations, 642 billability changes, 88 terminology revisions, and the creation of an entirely new…

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