The Business of Surgery

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November 2025
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Raising awareness of “Near-Miss,” retained surgical sharps

In 2018, Sam Weprin, MD, started his first year of residency in Urology. During one of his first prostatectomy cases, he witnessed an impeccable surgery performed by the attending surgeon. Unfortunately, a surgical needle went missing inside the patient. The surgeon and her team spent an hour searching for it,…

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By: Ivy Montgomery
November 17, 2021
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Block time strategies help maximize robot utilization, service line

Improving patient outcomes and providing a superior experience for patients were at the forefront of the decision to grow the robotics service line at Northeast Georgia Medical Center (NGMC), Gainesville. Expanding from one da Vinci S system by Intuitive and six robotics surgeons covering five specialties in 2008 to four…

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By: Judith M. Mathias, MA, RN
November 17, 2021
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Patient safety and the “Internet of Medical Things (IoMT)”

With all of the advantages that come from electronic health records and connected devices, some distinct security risks also exist. Healthcare is seeing these risks grow in the form of ransomware, phishing attacks, and cybersecurity breaches. Healthcare has become one of the industries most vulnerable to cyberattacks, and one with…

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By: Karen Stockdale, MBA, BSN, RN
November 17, 2021
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Lay groundwork for strong start to new year with quick win in OR efficiency

The new year is just around the corner, and it will bring new challenges for OR leaders as well as fresh opportunities to improve clinical, financial, and operational performance. The typical surgery department is a “target-rich environment”: low utilization, long turnover times, inefficient charge capture, poor documentation, high supply costs,…

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By: Michael Besedick, MS and Kartik Bhatt, MPH
November 17, 2021
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Survey: Dips in job satisfaction, engagement may relate to pandemic

Over the past year, job satisfaction of OR leaders as well as staff and physician engagement have all eroded, according to the 2021 OR Manager Salary/Career Survey. Although more than two-thirds (67%) of respondents rate their current jobs or positions favorably, that is down from the 77% seen in 2020…

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By: Cynthia Saver, MS, RN
September 21, 2021
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Retaining nurses in a post-pandemic era--Part 2

Even as vaccination rates rise, COVID-19 continues its grip on the healthcare system and nurses are feeling the consequences, including staffing challenges that have prompted a renewed focus on retention. Scars left by the pandemic will complicate retention efforts. “The pandemic has made things much worse, not only for the…

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By: Cynthia Saver, MS, RN
September 21, 2021
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OR Manager of the Year shows leadership in smart policy

Mary Anne Douglas, MS, RN, CNOR, the 2021 OR Manager of the Year, has a daily routine: she spends about 15 to 20 minutes every morning catching up on pandemic- and healthcare-related news that might help her stay dynamic and innovative in her field. Evidence of her inspired work is…

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By: Tarsilla Moura
September 21, 2021
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How might telehealth alter approaches to surgical patient care?

Telehealth services grew exponentially in the early days of the COVID-19 pandemic. Overall telehealth utilization for office visits and outpatient care was 78 times higher in April 2020 than in February 2020, according to a McKinsey & Company July 2021 report. Since then, telehealth utilization has stabilized at levels that…

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By: Elizabeth Wood
September 21, 2021
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Act now to address predicted gaps in anesthesiology coverage

Perioperative services leaders have their hands full with a range of pressing issues, from the return of elective case cancellations to new struggles with staff turnover. However, an even bigger problem is flying under the radar for many hospitals—impending changes in the market for anesthesiology services. Several factors are coming…

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By: Joshua Miller, MD, Thomas Blasco, MD, MS and Kartik Bhatt, MPH
September 21, 2021
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Survey: Most ASC leaders plan to stay the course after pandemic

Consistency is the word that comes to mind when reviewing results from the 2021 OR Manager Salary/Career Survey. Despite the COVID-19 pandemic, leaders in ambulatory surgery centers (ASCs) reported that salary, satisfaction, and the number of employees supervised were comparable to metrics reported in 2020. The good news is that…

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By: Cynthia Saver, MS, RN
September 21, 2021
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