2019
DOI: 10.1016/j.jclinane.2018.12.027
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The impact of reduction of testing at a Preoperative Evaluation Clinic for elective cases: Value added without adverse outcomes

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Cited by 18 publications
(26 citation statements)
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“…Recent evidence suggests, however, that routine lab testing is still performed in a variety of perioperative settings despite contradictory guidelines [28]. In such scenarios, streamlining preoperative workflow can reduce the number of routine lab tests and imaging procedures performed, without a significant increase in case cancellations, length of stay, or readmission [29]. Hence, to guarantee safety, solid knowledge of current guidelines is a prerequisite for focused testing in the ambulatory setting [30].…”
Section: Key Pointsmentioning
confidence: 99%
“…Recent evidence suggests, however, that routine lab testing is still performed in a variety of perioperative settings despite contradictory guidelines [28]. In such scenarios, streamlining preoperative workflow can reduce the number of routine lab tests and imaging procedures performed, without a significant increase in case cancellations, length of stay, or readmission [29]. Hence, to guarantee safety, solid knowledge of current guidelines is a prerequisite for focused testing in the ambulatory setting [30].…”
Section: Key Pointsmentioning
confidence: 99%
“…10 Previous studies have found no increase in case cancellations, length of stay (LOS), readmission, or same-day testing for patients not undergoing preoperative testing. [10][11][12] Similarly, there is a risk of having a clinically insignificant abnormal test result which could result in delayed care of the patient. 13 As such, eliminating low-value tests can result in cost savings without jeopardizing patient outcomes.…”
Section: Introductionmentioning
confidence: 99%
“…13 As such, eliminating low-value tests can result in cost savings without jeopardizing patient outcomes. 11,14,15 Organizations such as the American Society of Anesthesiologists (ASA) and European Society of Anesthesiology have recommended adopting a patientcentered approach when determining a need for PLT. 11,12 Endoscopic sinonasal surgery (ESS) is one of the most common outpatient procedures in the United States, with over 250 000 ambulatory surgeries annually.…”
Section: Introductionmentioning
confidence: 99%
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“…In the eld of anaesthesia, PAC is well known to reduce patient anxiety (11), cancellation rate, length of hospital stay, costs (12), number of blood tests (13), mortality (14), and wound infections in addition to increasing patient satisfaction, and surgical volume and ow (12). However, a recent systematic review on the effectiveness of PAC found low quality prospective studies and highlighted the importance of high-quality research in this eld (15).…”
mentioning
confidence: 99%