Leadership 
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…
Editor’s Note: This page is a companion piece to the main article, Emergency preparedness: Identifying essential supplies for unplanned surgical events. While the main article outlines the principles of emergency readiness and supply preparation in the OR, the posts below offer a closer look at two key implementation areas: Supply…
While most emergency surgical procedures are carried out uneventfully and safely, the OR is also a place where potentially life-threatening and least-expected instances can arise. Emergencies such as malignant hyperthermia, intraoperative cardiac arrest, and anaphylaxis can catch OR leaders and staff off guard. Perioperative teams need proper and adequate preparation…
How would you describe the ideal OR? Whatever the answer, the chance to reimagine and reshape the perioperative suite can be among the most exciting projects of a perioperative leader’s career. However, OR construction and renovation also can be among the most daunting projects of a perioperative leader’s career. Just…
An estimated 22 million Americans were believed to have obstructive sleep apnea (OSA) in 2019, according to data cited in a February 2019 article published by OR Manager. At that time, up to 80% of cases were undiagnosed, and 30% to 40% of the surgical patient population was believed to…
Comparing healthcare to aviation is a long-standing tradition, especially when discussing safety systems like checklists. However, the similarities extend beyond protocols. Just as flying a paper airplane differs vastly from piloting a jumbo jet, so too does earning a certificate of attendance differ from achieving professional certification. Parallels like these…
When Betsy Grunch, MD, FAANS, FACS, FCNS, board-certified neurosurgeon known on TikTok and Instagram as @Ladyspinedoc, watched a viral video of a surgeon berating an OR nurse during a livestreamed procedure, she was incredibly bothered by the shameful display. She took to her popular platform and spoke out against that…
Takeaways • Different types of ASC leadership structures can be adapted to meet organizational needs. • Regulations, accreditation standards, size, and ownership types are examples of factors influencing the leadership structure. • Ongoing success of the ASC leadership team depends on factors such as governing body diversity and strategic planning.…
One of the most sobering moments in the career of anesthesiologist Cornelius Sullivan, MD, occurred not as a caretaker in the OR, but as a patient in the emergency department. Having been knocked out cold by a low-hanging monitor during a surgical procedure at Boston Children’s Hospital, he had to…
The ongoing turbulence in global trade policy, particularly the re-escalation of tariffs on medical supplies from China and other countries, is weighing heavily on US healthcare operations. Sweeping US trade policy shifts this year are sparking great concern, but while 2025 has seen unprecedented tariff escalations and supply chain volatility,…
