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October 2025
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New clinical guideline addresses perioperative risk assessment and management in patients with cirrhosis

The American College of Gastroenterology (ACG) has published a clinical guideline that presents a comprehensive approach to perioperative risk assessment and management in patients with cirrhosis – a population that it says presents “unique surgical risks.” The guideline emphasizes a multidisciplinary approach to preoperative evaluation, perioperative care, and postoperative follow-up.…

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By: Joe Paone
April 17, 2026
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ASCA CEO explains redesigned Benchmarking survey

Last week we reported that the Ambulatory Surgery Center Association’s (ASCA’s) Clinical & Operational Benchmarking Survey has been redesigned and relaunched as the new ASCA Benchmarking survey, which is ready for Q1 data submissions right now. Now you can hear more about the “total remaking” of the survey straight from…

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By: Joe Paone
April 16, 2026
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The perioperative power of a child life specialist

The Children’s Hospital Association has shared a compelling story about Golisano Children’s Hospital at UK in Lexington, Ky., which integrated a child life specialist into its perioperative team. While the expectation was that the integration of the specialist would help improve the patient experience, it also changed clinical practice by…

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By: Joe Paone
April 13, 2026
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ASCA announces redesigned Benchmarking survey

The Ambulatory Surgery Center Association (ASCA) has unveiled a completely redesigned benchmarking survey that the organization states will provide its members a “more modern and personalized experience” that is more user-friendly. Formerly known as ASCA’s Clinical & Operational Benchmarking Survey, the new ASCA Benchmarking survey is ready for Q1 data…

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By: Joe Paone
April 9, 2026
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Precision leadership: Why surgical services demand a new executive operating model

Few operational domains in health care expose leadership capability quite like surgical services. It is where clinical complexity, resource intensity, and financial volatility converge, all in real time. In many organizations, perioperative performance still hinges on daily heroics: capacity huddles, staffing scrambles, reactive scheduling, and near‑constant problem‑solving. The system “works”…

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By: Edna Gilliam, DNP, MBA, RN, CNOR, NEA BC
April 8, 2026
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How to unlock preference card value: Standardization, workflow-ready data, reduced waste, significant cost savings

As margins tighten and labor pressures intensify, perioperative leaders are re-evaluating the levers that shape everyday efficiency and performance. One such lever — used in every OR, by every team, for every case — is the preference card. Surgeon preference cards have long held a conflicted identity: they’re indispensable, yet…

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By: Thomas Needs, MBBS, BSc (Hons)
April 2, 2026
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Study encourages adoption of protocols to protect obese patients during emergency general surgeries

A new narrative review study posted Monday on Cureus, “Patients With Obesity on the Acute Care Surgery Service: Improving Outcomes,” posits that obesity now “represents a defining characteristic of the emergency general surgery (EGS) population," and that many clinicians and health systems need to account for this reality in their care…

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By: Joe Paone
March 24, 2026
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A streamlined surgeon onboarding process boosts safety, satisfaction and the bottom line

Everyone knows the time-honored cliché about surgeons who act out as the ego-driven superstars of the OR, and to whom everyone else on the perioperative team defers or even fears. In one periop leader’s experience, that dynamic has changed. “The physician of today is not the physician of 10 years…

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By: Joe Paone
March 12, 2026
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How Jacksonville’s Florida Memorial Hospital is using AI

Jacksonville TV station WTLV-TV reported last week on the use of artificial intelligence (AI) at the city’s HCA Florida Memorial Hospital. “The goal isn’t to replace doctors, but support them,” said the anchor introducing the piece. Interviewed in the report was the hospital’s Eric Troup, DO, who said the facility…

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By: Joe Paone
March 6, 2026
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[LAST CHANCE TO REGISTER!] Free webinar: How Advance Case Management can improve OR efficiency

If you’re focused on making your ORs more efficient – and who among perioperative leaders isn’t? – we encourage you to attend next Monday’ s free webinar, “Driving Efficiency in Surgery with Advance Case Management.” Led by orthopedic surgeon Robert B.(RB) Jones, MD, of Mercy Springfield and Nate Edgington, DBH,…

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By: Joe Paone
March 5, 2026
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