Does the Type of Surgical Headwear Worn in the OR Matter? A Review of Evidence and Opinions.

Proper surgical attire is essential in decreasing surgical site infections; however, the effectiveness of the different types of headwear is a controversial topic. We conducted a narrative review based on studies identified through a focused literature search to summarize and critically assess evidence and opinions on the most appropriate type of headwear for OR personnel. We included 48 articles: 17 original research studies and 31 non-peer-reviewed articles of various types. Research published before 2014 mostly supports the complete coverage of all hair, which aligns with the 2015 AORN guidelines. However, more recent literature rebuts these guidelines and emphasizes the importance of clean headwear. Although earlier studies (published before 2017) lacked scientific rigor, later studies (published after 2017) have other various limitations, including missing data on compliance, surgery-related techniques, and surgical attire other than headwear. The findings from this review highlight the importance of solid evidence-based guidelines and expert collaboration.

Health Disparities Experienced by Surgical Patients of Color: What is Known and Key Actions to Take.

In July of 2020, AORN created a comprehensive Diversity, Equity, and Inclusion plan that includes a patient-focused committee whose goal is to improve the care, experience, and outcomes of each patient by providing relevant information, education, and resources about diversity, equity, and inclusion to the perioperative team. To gain insight into racial disparities in the surgical setting, the committee conducted a literature search and identified relevant evidence. As in health care in general, disparities in surgical care and outcomes exist between patients of color and their white counterparts. The reasons are multifactorial and interconnected, with contributing factors related to the patient, health care providers, the health care system, and surgical and postoperative care. Disparities can occur at any point along the perioperative continuum. Research conducted during the past 10 years supports the existence of disparities in the surgical setting and across surgical specialties, but few researchers have recommended strategies that perioperative teams can implement for improvement. The white paper identifies disparities in the surgical setting, actions that facilities and perioperative teams can take to mitigate disparities, and information gaps that should be the focus of future research. Perioperative team members and health care organizations are ethically responsible to lead the development and implementation of changes in health care settings and in public and health policies that address disparities in surgical care and outcomes.

We Asked the Experts: The WHO Surgical Safety Checklist and the COVID-19 Pandemic: Recommendations for Content and Implementation Adaptations.

BACKGROUND: As surgical systems are forced to adapt and respond to new challenges, so should the patient safety tools within those systems. We sought to determine how the WHO SSC might best be adapted during the COVID-19 pandemic. METHODS: 18 Panelists from five continents and multiple clinical specialties participated in a three-round modified Delphi technique to identify potential recommendations, assess agreement with proposed recommendations and address items not meeting consensus. RESULTS: From an initial 29 recommendations identified in the first round, 12 were identified for inclusion in the second round. After discussion of recommendations without consensus for inclusion or exclusion, four additional recommendations were added for an eventual 16 recommendations. Nine of these recommendations were related to checklist content, while seven recommendations were related to implementation. CONCLUSIONS: This multinational panel has identified 16 recommendations for sites looking to use the surgical safety checklist during the COVID-19 pandemic. These recommendations provide an example of how the SSC can adapt to meet urgent and emerging needs of surgical systems by targeting important processes and encouraging critical discussions.