The Business of Surgery

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November 2025
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Innovation Spot: Leveraging technology to address gaps in staffing

Is technology part of the answer for nursing staff woes? As COVID-19 patients continue to fill hospital beds, caregivers are feeling exhausted, burned out, and unappreciated. OR nurses have been especially hit hard, as shifts in surgeries and overflowing patient wards stretch OR nurses beyond their limits and comfort zones.…

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By: Christine Havlin, MBA, BS, RN and Kim Haines, BSN, RN, CNOR
April 22, 2022
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Editorial

According to the American Academy of Orthopaedic Surgeons (AAOS), the global ambulatory surgery center (ASC) market is valued at around $81 billion, as of 2020, and it is projected to reach $120 billion by 2027. The ASC market in the US is estimated at almost $22 billion, with intelligence company…

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By: Tarsilla Moura
March 25, 2022
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Move Well: Teaching OR staff to avoid musculoskeletal injuries

Nurses have the highest incidence of work-related musculoskeletal injuries in the US, and OR nurses have the highest incidence among all nursing specialties. Estimates in the literature say more than 50% report chronic back pain, and 10% must leave their profession entirely because of back injuries. It is also estimated…

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By: Judith M. Mathias, MA, RN
March 25, 2022
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Impact of supply chain crisis on surgical services

What happens when global supply chains—which are already typically operated lean across the board—are hit with a once-in-a-century pandemic? An ongoing, collective lesson in economics. The problem is not hard to understand: COVID-19 shutdowns brought manufacturing to a near standstill, during which time the demand for goods increased, and now there…

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By: Carisa Brewster
March 25, 2022
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Sponsored Message

Establishing service lines in ambulatory surgery centers

The effects of the COVID-19 pandemic on the healthcare industry could fill an entire academic curriculum at this point, let alone a single article. But one potential silver lining among the storms of bad news is the increasing migration of elective procedures from hospitals to ambulatory surgery centers (ASCs). Although…

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By: Shawn Sefton, MBA, BSN, RN
March 25, 2022
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Key items for cardiovascular, peripheral vascular service lines

Ambulatory surgery centers (ASCs) are ramping up cardiovascular and peripheral vascular service lines, as Medicare offers payment for a growing number of cardiac procedures and accrediting bodies offer support for this methodology. In 2021, the Medicare Payment Advisory Commission reported that the number of ASCs billing Medicare for cardiology procedures…

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By: Jennifer Lubell
March 25, 2022
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Effectiveness of reprocessing ureteroscopes, other endoscopic devices

Each year, there are more studies raising concerns about infections associated with endoscopic procedures and the techniques used to clean and sterilize or high-level disinfect (HLD) endoscopic devices. In this article, in partnership with Boston Scientific, epidemiologist Cori L. Ofstead, MSPH, president and CEO of Ofstead & Associates, St Paul,…

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By: Judith M. Mathias, MA, RN
February 16, 2022
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Upending stereotypes of nursing operational priorities, abilities

Prior to the advent of nurses in operational leadership roles, operational decisions in healthcare were made by financial and business executives, as well as physicians, without full and adequate input from nursing. Today, nurses have earned their place at the management table as a vital part of the outcomes of…

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By: Shawn Sefton, MBA, BSN, RN
February 16, 2022
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Acclimating to OR, sterile processing department cultures

The differences between sterile processing (SP) and OR tasks and department cultures are significant. However, they share a collective goal: both work toward the best outcome for every patient. Still, both departments often suffer from having unrealistic goals for each other. One example is that the OR may expect instruments…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
February 16, 2022
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Best practices for hiring a consultant

It has been a roller coaster of a ride for almost 2 years now in both our private and professional lives. No one has a crystal ball, but I would guess that there will be more bumps in the road before we arrive at something close to normal—whatever normal will…

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By: Nancy Lombard, MS, RN, CNOR
January 20, 2022
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