Effect of Practice Guideline Dissemination Strategies on Physician Behavior and Patient Outcomes

Purpose: To evaluate the effectiveness of short-acting anesthetic drugs and techniques to achieve recovery room bypass criteria after minor surgery in a community hospital environment.Methods: After agreement by a multidisciplinary committee, a pilot project was undertaken to assess the usefulness of ultra-short acting anesthetic drugs and pre-emptive analgesia to facilitate rapid recovery from general anesthesia. A cohort of 100 ASA I-II patients aged 18-65 yr undergoing simple knee arthroscopy or minor peripheral orthopedic procedures was compared to a similar cohort treated in the three months prior to the study period. Outcomes of interest included patient morbidity, success in achieving post-anesthesia care unit (PACU) bypass criteria, impact upon nursing resources, duration of operating room (OR) and hospital stay, and pharmaceutical costs before and after implementation.

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Éviter la salle de réveil, l’étude pilote d’un “protocole accéléré” dans un hôpital communautaire

Duncan

Shandro

Bachand

et al. 2001

Can J Anesth/J Can Anesth

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Effect of Practice Guideline Dissemination Strategies on Physician Behavior and Patient Outcomes

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Éviter la salle de réveil, l’étude pilote d’un “protocole accéléré” dans un hôpital communautaire

Éviter la salle de réveil, l’étude pilote d’un “protocole accéléré” dans un hôpital communautaire

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