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O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | A U G U S T 2 0 1 5
A u g u s t 2 0 1 5 | V o l . X V I , N o . 8
C O N T E N T S
46 Breaking Bad
The pressure to meet
Wall Street expecta-
tions blinded a med-
ical device executive to
participate in an elabo-
rate channel-stuffing
scheme to defraud
investors.
David Applegate
34 COVER STORY
Why Do ASCs Fail?
Any of several scenarios can turn a
thriving center into an empty shell.
Jim Burger | Associate Editor
82 Patient Warming Pays Off
Our real-world research attempted to
identify the most effective and economical
option in hypothermia prevention.
Edie Patterson, BSN, RN, CNOR
89 Enhance Your
Surface Disinfection Efforts
Wipes and whole room disinfection
ensure ORs are as clean as possible.
Heather A. Hohenberger, BSN, RN, CIC, CNOR
97 2015 Cataract Technology Survey
A look at how your peers
are embracing recent innovations.
Jim Burger | Associate Editor
Outpatient Surgery
August 2015
R
Magazine
www outpatientsurgery.net
Why Do
ASCs Fail?
How a thriving center
can turn into an
empty shell.
P. 18
David
Applegate's
ArthroCare
Confession
p. 24
On the Cover
Failing to recruit new surgeons, building too big too fast,
unrealistic expectations of continued growth, a lack of
strong leadership and bad payer contracts are just a few
factors that can drive successful surgery centers into the
ground. ASC management experts share their best advice
so you don't make the same mistakes.
Cover design by Ethan Anderson
F E A T U R E S
D E P A R T M E N T S
8 Editor's Page
Surgeon Report Cards Get Failing Grade
Dan O'Connor | Editor-in-Chief
12 Letters & E-mail
Does Exparel Work
Any Better Than Bupivacaine?
16 Ideas That Work
• Color-coded staff
• The key to protecting patient privacy
• Streamline room turnovers
26 Anesthesia Alert
Reduce PONV by "Bookending" Propofol
Michael Reines, MD
30 Infection Prevention
Battling Biofilm
Charles Edmiston, Jr., PhD, CIC
120 Cutting Remarks
Famous Last Words
John D. Kelly IV, MD
122 Behind Closed Doors
Paula's Attitude Adjustment
Paula Watkins, RN, CNOR
125 In Case You Missed It
A recap of the hottest headlines
from our online news coverage.