Aorn JournalPub Date : 2026-10-01DOI: 10.1002/aorn.70155
Laura Ward
{"title":"Intraoperative Quantitative Blood Loss: Best Practices From Obstetrics.","authors":"Laura Ward","doi":"10.1002/aorn.70155","DOIUrl":"10.1002/aorn.70155","url":null,"abstract":"<p><p>Quantitative blood loss (QBL) measurement is an evidence-based standard in obstetrics that improves detection and management of postpartum hemorrhage, replacing traditional visual estimation of blood loss. Extending QBL to intraoperative care may improve patient safety, as inaccurate blood-loss estimation can delay hemorrhage recognition, lead to inappropriate transfusion, and increase preventable morbidity. This clinical review outlines strategies for implementing QBL as an intraoperative standard. Successful adoption requires a structured, multidisciplinary approach, including standardized measurement methods, appropriate technology selection, defined team roles, integration into operative workflows, staff training, and ongoing audit and feedback. Integration with patient blood management strategies further supports timely and appropriate responses to bleeding. Broader application of QBL across surgical specialties may enhance clinical decision-making, resource utilization, and patient outcomes.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"124 4","pages":"243-253"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2026-10-01DOI: 10.1002/aorn.70160
Cynthia Saver
{"title":"Giving Back Through Volunteering.","authors":"Cynthia Saver","doi":"10.1002/aorn.70160","DOIUrl":"https://doi.org/10.1002/aorn.70160","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"124 4","pages":"277-280"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2026-10-01DOI: 10.1002/aorn.70165
Lindsay Fischer
{"title":"The Three Elements of the Fire Triangle.","authors":"Lindsay Fischer","doi":"10.1002/aorn.70165","DOIUrl":"https://doi.org/10.1002/aorn.70165","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"124 4","pages":"P11"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2026-10-01DOI: 10.1002/aorn.70151
Donna J Doyle
{"title":"Championing Quality and Safety Through Perioperative Nurse Advocacy.","authors":"Donna J Doyle","doi":"10.1002/aorn.70151","DOIUrl":"https://doi.org/10.1002/aorn.70151","url":null,"abstract":"<p><p>Perioperative nurses use evidence-based practice to achieve optimal outcomes when caring for patients. Translating evidence-based guidelines into practice, however, can be difficult, especially when barriers to compliance are present. Compliance barriers may arise from organizational culture, knowledge deficits, absence of policy, shortcuts, competing priorities, time constraints, physician pushback, or system-level barriers. When evidence-based practices are not followed, patient safety events and suboptimal outcomes may occur. This article addresses how legislative advocacy and policy provide solutions when barriers prevent full compliance or efforts fail. Even with organizational policy solutions, barriers to implementation may still exist. Perioperative nurses should therefore advocate in policy arenas to promote change that results in optimal quality and safety outcomes for themselves, their team, and their patients. Compliance, barriers, and advocacy are explored to navigate the intersections of policy, quality, and safety.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"124 4","pages":"228-235"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2026-10-01DOI: 10.1002/aorn.70163
Ray-An B Talatala
{"title":"Advancing Safety and Quality in Perioperative Nursing.","authors":"Ray-An B Talatala","doi":"10.1002/aorn.70163","DOIUrl":"https://doi.org/10.1002/aorn.70163","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"124 4","pages":"214-216"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2026-10-01DOI: 10.1002/aorn.70164
Lindsay Fischer
{"title":"How to Promote Civil Behavior in the OR.","authors":"Lindsay Fischer","doi":"10.1002/aorn.70164","DOIUrl":"https://doi.org/10.1002/aorn.70164","url":null,"abstract":"","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"124 4","pages":"P1-P3"},"PeriodicalIF":1.7,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aorn JournalPub Date : 2026-08-01DOI: 10.1002/aorn.70122
Louie Ang
{"title":"Charting Progress: A Reflective Debriefing for Novice Perioperative Nurses.","authors":"Louie Ang","doi":"10.1002/aorn.70122","DOIUrl":"10.1002/aorn.70122","url":null,"abstract":"<p><p>Perioperative nursing faces staffing shortages, high turnover, and resource-intensive orientation that threaten safety and operational efficiency. Charting Progress is an internally developed program at a multicampus academic medical center that complements existing curricula by addressing readiness, resilience, and professional identity formation. The program integrates peer-led strengths, weaknesses, opportunities, and threats reflection; intraoperative mock code simulation; leadership dialogue to clarify expectations; and career pathway mapping grounded in emotional intelligence principles. In October 2025, nine novice perioperative nurses participated. Self-reported confidence in core OR skills increased from 62.5% to 75.0%, and perceived readiness to advance increased from 62.5% to 87.5% by program completion. Costs were minimized by using existing simulation resources, protected staff time, and a half-day cohort format. Limitations included the small sample size, limited campus participation, and reliance on self-reported data with possible response bias. Overall, findings suggest this concise emotional intelligence program may accelerate transition to practice.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"124 2","pages":"89-97"},"PeriodicalIF":1.7,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13408890/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148609870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}