The Business of Surgery

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October 2025
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Stuart Downs: Finding power in meaningful recognition

All leaders at some point in their careers should find ways to reward and recognize their staff. But what most leaders fail to grasp is, the heart behind the reward is immediately apparent and matters almost as much as the reward itself. Stuart Downs, DNP, RN, NEA-BC, CENP, CPHQ, FACHE,…

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By: Amy Bethel, MPA, BSN, RN, NE-BC
May 24, 2022
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Five things to ask distributors about ASCs

While the COVID-19 pandemic continues to evolve with impacts shifting over time, some of the changes it brought to healthcare—specifically the OR—may be permanent. One trend it accelerated: the rise in new ambulatory surgery centers (ASCs), which specialize in elective or same-day outpatient surgical procedures. While this trend was largely…

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By: Tarsilla Moura
May 24, 2022
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Hospitals, ORs fear ransomware fallout from Ukraine invasion

Hospitals and health systems know they are attractive targets for cybercriminals. When lives are at stake, and the victims are often insured, ransomware gangs can expect a quick and easy payout. But since the Russian invasion of Ukraine on February 24, hospitals have had to face a new reality: The…

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By: Shaun Waterman
April 22, 2022
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Creative recycling: blue wrap, bottle caps, thinking outside the box

There is more than one way to skin a blue wrap—and transform its utility. Faced with overwhelming amounts of waste, teams in operating rooms are finding creative solutions, taking discarded medical supplies and repurposing them into bed pans, COVID masks, or in some cases, works of art. For many health…

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By: Jennifer Lubell
April 22, 2022
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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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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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