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Why Do ASCs Fail? - August 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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lenses, with 90% saying they now offer toric IOLs and 85% offering multifocal IOLs. Quarter-diopter-step lenses are also finding their way, with 31% now making them available. Overall, advanced IOLs achieved runner-up sta- tus when it came to naming the most significant innovation of recent years. In the quest to achieve more and more precise outcomes, arcuate corneal incisions (47%), digital marking through the microscope (25%) and intraoperative wavefront aberrometry (17%) are also finding increasing numbers of believers. Among our other survey findings: • Surgeons are still a hard sell when it comes to guarded ophthalmic scalpels, with 64% of respondents saying they're never used at their facilities, and another 12% saying they're used in fewer than half of all cases. They just don't like the feel, say most of the resisters, with high cost and resistance to change also frequently cited as reasons. • Preloaded IOL-injection systems have made their way into about one-fourth of our respondents' practices and get very high marks when it comes to efficiency, infection control and surgeon satisfac- tion, but slightly lower marks when it comes to cost. • The vast majority of facilities are taking care of their surgeons' ergonomic needs, with 87% offering "heads-up" surgery — rather than being tethered to the optical eyepiece of the microscope, surgeons view high-definition displays of the surgical field of view in real-time on a 3D flat-panel display — 93% providing microscopes with adjustable oculars and 88% offering ergonomically engineered surgeon chairs. OSM E-mail jburger@outpatientsurgery.net. 1 0 7 A U G U S T 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T Pamela Bevelhymer, RN, BSN z GOAL ORIENTED Advanced lenses and innovative tech- niques are part of the quest for more precise outcomes.

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