Safety

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November 2025
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Survey: ASC volumes continue to rise amid staffing challenges

healthcare nurse staff

ASC leaders continue to see increased surgical volumes but are finding it difficult to staff their centers, according to the 2023 OR Manager Salary/Career Survey. More than half (56%) of respondents reported increased volume in the past 12 months, the same as last year. Yet the ability to recruit new…

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By: Cynthia Saver, MS, RN
August 21, 2023
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Market forces affecting the ambulatory surgery industry

Ambulatory is the term the industry is “stuck with” because that is the name the founders came up with in 1970, says David Shapiro, MD, CASC, CPHRM, LHR, an anesthesiologist with extensive experience in ambulatory surgery management and a member of the Accreditation Association for Ambulatory Health Care (AAAHC) board.…

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By: Judith M. Mathias, MA, BS, RN
August 21, 2023
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Hospitals look to cybersecurity insurance as cyberattacks rise

Takeaways • Patient data & safety are at risk: 94% of hospitals have experienced at least one cyberattack. • Less than half of hospitals in the US carry cybersecurity insurance. • Security is a two-part strategy: cybersecurity insurance as well as preventative measures (eg, encrypted backups, patches, and training). When…

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By: Brita Belli
July 20, 2023
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Navigating challenges of connecting recalls to patients, inventory

Healthcare facilities face challenges in the recall process of tissue, non-biologic implants, and medical devices because of their time-sensitive nature and inherent risks to patient safety and compliance. Hospitals often use secondary sources for recall notifications. These lists, however, do not include two critical pieces—the identification of affected patient cases…

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By: Tracey Berkowitz
July 20, 2023
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Keeping it sterile: Fundamentals of sterile storage

Using sterile items in surgery is a fundamental practice, not a rudimentary one that can or should be taken for granted. Put simply, using unsterile items can result in a patient infection. If sterile storage conditions are not appropriate, the items can become contaminated. Such contamination may go undetected, rendering…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIF
July 20, 2023
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Clinical evaluation of latest miscount management tool

A big question was circulating amongst the OR professionals at the AORN Global Surgical Conference floor this year: “How do we improve our miscount protocols?” It was clear that nurses and OR managers are looking for a better miscount management solution. Manual counting has been the standard in preventing retained…

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By: Ivy Montgomery
July 20, 2023
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How rural hospital acquisitions are impacting surgical care access

Takeaways Rural hospital purchases by larger health systems should improve access to surgical treatment in remote areas, but some acquisitions have resulted in decreased care quality and reduced access to services, as shown by recent examples. Despite challenges, rural hospital acquisitions can lead to expanded services, enhanced perioperative support, and…

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By: Sarah Falcone, BSN, RN
June 21, 2023
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Editorial

Access to quality care in rural areas has been making headlines since the pandemic began. The issue of ensuring appropriate access to services in rural and community hospitals is not a new concern. But with the unprecedented number of shutdowns—not only of certain departments and service lines but also total…

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By: Tarsilla Moura
June 21, 2023
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AI, analytics help match anesthesia supply to surgical demand

While demand for OR services can be unpredictable, supply is largely fixed—well below the baseline for many hospitals and health systems. The ability to match supply and demand within perioperative services is critical to efficient ORs, as hospitals and health systems must operate with constrained staffing and anesthesia resources. On…

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By: Drew Domagalski
June 21, 2023
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Managing MALS during surgery means addressing chronic pain

Median Arcuate Ligament Syndrome (MALS) presents a challenge to anesthesiologists and surgeons alike in the OR. Clinicians often do not know how to identify and treat this condition, and it can go undetected for years. “I think the reason many anesthesiologists, even pain specialists, aren’t well versed or aware of MALS…

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By: Jennifer Lubell
June 21, 2023
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