Preoperative Assessment and the Anesthesia Clinic

Haberkern, Charles M.; Lecky, John

doi:10.1016/s0889-8537(05)70297-2

Cited by 6 publications

(3 citation statements)

References 53 publications

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“…Fischer et al [3] determined that preventing unnecessary tests may reduce the cost by 55%. It is known that making the pre-anesthetic assessment before the operation day prevents last minute cancellations and postponing the surgical operation [4]. Besides surgery costs related to postponing the case increases, using the operation room effectively is not possible as the surgery date can not be clarified.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Consultations on the Cost of Pre-Anesthetic Assessment

Erhan¹,

Beştaş²,

Öner³

et al. 2013

IJCM

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Background: In our study, researching the distribution of the consultations other than anaesthesia in compliance with the disciplines and ages of the patients and its effect on the assessment cost has been aimed. Methods: Our study has been conducted during 8 months by the retrospective assessment of the records of 3844 cases on which an elective surgical procedure was planned in the anesthesiology polyclinic of Firat University Hospital. The records of patients have been obtained through examining their files from the hospital record system. Results: The total number of patients whose consultations have been demanded was 367 (9.5%) and the number of male/female was 192/175. The number of cases about which more than one consultation has been demanded was determined as 87 (2.2%). The number of cases on which a method change for the anaesthesia was applied was 21 (5.7%), and the number of cases whose surgery was cancelled was 3 (0.81%). Requested consultation for each patient, the consultations of cardiology, chest diseases and internal medicine bring an additional cost on the total sum respectively as 37.2 TL (28.61 $), 29.8 TL (22.92 $) and 19.9 TL (15.30 $). Conclusions: We suggest that the cost analysis should be absolutely taken into consideration during the pre-anaesthetic assessment for the requirement of routine examinations.

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Section: Discussionmentioning

confidence: 99%

The Effect of Consultations on the Cost of Pre-Anesthetic Assessment

Erhan¹,

Beştaş²,

Öner³

et al. 2013

IJCM

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“…The ASA score was used to measure patient physical status 25. The operative procedures were classified according to degree of contamination into one of four classes (clean, clean-contaminated, contaminated, or dirty/infected).…”

Section: Methodsmentioning

confidence: 99%

Improving surveillance system and surgical site infection rates through a network: A pilot study from Thailand

Kasatpibal

Nørgaard

Jamulitrat³

2009

CLEP

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Background:Surveillance of surgical site infections (SSI) provides data upon which interventions to improve patient safety can be based. In Thailand, however, SSI surveillance has not yet been standardized.Objectives:To develop a standardized SSI surveillance system and to monitor SSI rates after introduction of such a system.Methods:We conducted a prospective study among 17,752 patients who underwent surgery in ten hospitals in Thailand from April 2004 to May 2005. The SSI rates were computed and benchmarked with the US rates, reported in terms of standardized infection ratio (SIR). We estimated the incidence rate ratio of surgical site infections by comparing the incidence in the last study period with the incidence in the first study period.Results:The study included 17,869 operations and identified 248 SSIs, yielding an SSI rate of 1.4 infections/100 operations and a corresponding SIR of 0.6 (95% confidence interval [CI] = 0.5–0.7). During the study period the overall SSI rate decreased from 1.8 infections/100 operations to 1.2 infections/100 operations, yielding an incidence rate ratio of 0.65 (95% CI = 0.47–0.89).Conclusion:Our study highlighted that a standardized SSI surveillance in a developing country can be initiated through a network and may be followed by a decrease in SSI rates.

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“…In an in-patient setting the patient on the ward may be referred to the anaesthetist preoperatively for preoperative evaluation and optimization. Although in many institutions the anaesthetists get to see the patient on the day of the procedure in the patient-waiting room, there is evidence that a preanaesthetic assessment well before the procedure plays a vital role in avoiding last-minute cancellations and delays of surgical procedures [ 1 ]. There have been many published reports to show that these clinics have immensely helped to avoid inconvenience to the patients and staff alike [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%