Roadmap for Transforming Preoperative Assessment to Preoperative Optimization
Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination and mitigates unexpected findings on the day...
Gespeichert in:
Veröffentlicht in: | Anesthesia and analgesia 2020-04, Vol.130 (4), p.811-819 |
---|---|
Hauptverfasser: | , , , , , , , , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | 819 |
---|---|
container_issue | 4 |
container_start_page | 811 |
container_title | Anesthesia and analgesia |
container_volume | 130 |
creator | Aronson, Solomon Murray, Sutton Martin, Gavin Blitz, Jeanna Crittenden, Timothy Lipkin, Mike E. Mantyh, Christopher R. Lagoo-Deenadayalan, Sandhya A. Flanagan, Ellen M. Attarian, David E. Mathew, Joseph P. Kirk, Allan D. |
description | Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination and mitigates unexpected findings on the day of surgery that may delay throughput, it does not allow for meaningful preoperative management of modifiable medical conditions. Evidence is limited regarding how best to balance efforts to mitigate modifiable risk factors versus the timing of surgery. Furthermore, while the concept of preoperative risk modification is not novel, evidence is lacking for successful and sustained implementation of such an interdisciplinary, collaborative program. A better understanding of perioperative care coordination and, specifically, implementing a preoperative preparation process can enhance the value of surgery and surgical population health. In this article, we describe the implementation of a collaborative preoperative clinic with the primary goal of improving patient outcomes. |
doi_str_mv | 10.1213/ANE.0000000000004571 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2348232915</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2348232915</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4471-72a390d91d68fe3b4b83e8e8c9a492f8e4224ed6c123afab2d8d9b3fc7da93953</originalsourceid><addsrcrecordid>eNqFkMlOwzAURS0EoqXwBwhlySYlHpLYy6pikgpFqKwtJ36hgSQOdkoFX487gIAFeGNf-5xn6SJ0jKMhJpiejW7Ph9G3xeIU76A-jkkSprHgu6jvb2lIhBA9dODck4844sk-6lEsRJRS2kc390bpWrVBYWwws6px_lCXzWNwZ8G0YFVXvkIwcg6cq6Hpgs78fJq2XVmX7z6Y5hDtFapycLTdB-jh4nw2vgon08vr8WgS5oylOEyJoiLSAuuEF0AzlnEKHHguFBOk4MAIYaCTHBOqCpURzbXIaJGnWgkqYjpAp5u5rTUvC3CdrEuXQ1WpBszCSUIZJ5QIvELZBs2tcc5CIVtb1sq-SRzJVZHSFyl_F-m1k-0Pi6wG_SV9NucBvgGWpurAuudqsQQr56Cqbv7fbPaHuuZiKkISES_4EK5N-gEOXo-x</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2348232915</pqid></control><display><type>article</type><title>Roadmap for Transforming Preoperative Assessment to Preoperative Optimization</title><source>MEDLINE</source><source>Journals@Ovid LWW Legacy Archive</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Aronson, Solomon ; Murray, Sutton ; Martin, Gavin ; Blitz, Jeanna ; Crittenden, Timothy ; Lipkin, Mike E. ; Mantyh, Christopher R. ; Lagoo-Deenadayalan, Sandhya A. ; Flanagan, Ellen M. ; Attarian, David E. ; Mathew, Joseph P. ; Kirk, Allan D.</creator><creatorcontrib>Aronson, Solomon ; Murray, Sutton ; Martin, Gavin ; Blitz, Jeanna ; Crittenden, Timothy ; Lipkin, Mike E. ; Mantyh, Christopher R. ; Lagoo-Deenadayalan, Sandhya A. ; Flanagan, Ellen M. ; Attarian, David E. ; Mathew, Joseph P. ; Kirk, Allan D. ; Perioperative Enhancement Team (POET)</creatorcontrib><description>Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination and mitigates unexpected findings on the day of surgery that may delay throughput, it does not allow for meaningful preoperative management of modifiable medical conditions. Evidence is limited regarding how best to balance efforts to mitigate modifiable risk factors versus the timing of surgery. Furthermore, while the concept of preoperative risk modification is not novel, evidence is lacking for successful and sustained implementation of such an interdisciplinary, collaborative program. A better understanding of perioperative care coordination and, specifically, implementing a preoperative preparation process can enhance the value of surgery and surgical population health. In this article, we describe the implementation of a collaborative preoperative clinic with the primary goal of improving patient outcomes.</description><identifier>ISSN: 0003-2999</identifier><identifier>EISSN: 1526-7598</identifier><identifier>DOI: 10.1213/ANE.0000000000004571</identifier><identifier>PMID: 31990733</identifier><language>eng</language><publisher>United States: International Anesthesia Research Society</publisher><subject>Ambulatory Surgical Procedures ; Delivery of Health Care, Integrated ; Documentation ; Elective Surgical Procedures ; Humans ; Patient Care Team ; Perioperative Care ; Postoperative Complications - prevention & control ; Preoperative Care - methods ; Preoperative Care - standards ; Risk Assessment ; Risk Factors ; Treatment Outcome</subject><ispartof>Anesthesia and analgesia, 2020-04, Vol.130 (4), p.811-819</ispartof><rights>International Anesthesia Research Society</rights><rights>2020 International Anesthesia Research Society</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4471-72a390d91d68fe3b4b83e8e8c9a492f8e4224ed6c123afab2d8d9b3fc7da93953</citedby><cites>FETCH-LOGICAL-c4471-72a390d91d68fe3b4b83e8e8c9a492f8e4224ed6c123afab2d8d9b3fc7da93953</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf><![CDATA[$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&PDF=y&D=ovft&AN=00000539-202004000-00004$$EPDF$$P50$$Gwolterskluwer$$H]]></linktopdf><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00000539-202004000-00004$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>314,780,784,4609,27924,27925,64666,65461</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31990733$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aronson, Solomon</creatorcontrib><creatorcontrib>Murray, Sutton</creatorcontrib><creatorcontrib>Martin, Gavin</creatorcontrib><creatorcontrib>Blitz, Jeanna</creatorcontrib><creatorcontrib>Crittenden, Timothy</creatorcontrib><creatorcontrib>Lipkin, Mike E.</creatorcontrib><creatorcontrib>Mantyh, Christopher R.</creatorcontrib><creatorcontrib>Lagoo-Deenadayalan, Sandhya A.</creatorcontrib><creatorcontrib>Flanagan, Ellen M.</creatorcontrib><creatorcontrib>Attarian, David E.</creatorcontrib><creatorcontrib>Mathew, Joseph P.</creatorcontrib><creatorcontrib>Kirk, Allan D.</creatorcontrib><creatorcontrib>Perioperative Enhancement Team (POET)</creatorcontrib><title>Roadmap for Transforming Preoperative Assessment to Preoperative Optimization</title><title>Anesthesia and analgesia</title><addtitle>Anesth Analg</addtitle><description>Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination and mitigates unexpected findings on the day of surgery that may delay throughput, it does not allow for meaningful preoperative management of modifiable medical conditions. Evidence is limited regarding how best to balance efforts to mitigate modifiable risk factors versus the timing of surgery. Furthermore, while the concept of preoperative risk modification is not novel, evidence is lacking for successful and sustained implementation of such an interdisciplinary, collaborative program. A better understanding of perioperative care coordination and, specifically, implementing a preoperative preparation process can enhance the value of surgery and surgical population health. In this article, we describe the implementation of a collaborative preoperative clinic with the primary goal of improving patient outcomes.</description><subject>Ambulatory Surgical Procedures</subject><subject>Delivery of Health Care, Integrated</subject><subject>Documentation</subject><subject>Elective Surgical Procedures</subject><subject>Humans</subject><subject>Patient Care Team</subject><subject>Perioperative Care</subject><subject>Postoperative Complications - prevention & control</subject><subject>Preoperative Care - methods</subject><subject>Preoperative Care - standards</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Treatment Outcome</subject><issn>0003-2999</issn><issn>1526-7598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlOwzAURS0EoqXwBwhlySYlHpLYy6pikgpFqKwtJ36hgSQOdkoFX487gIAFeGNf-5xn6SJ0jKMhJpiejW7Ph9G3xeIU76A-jkkSprHgu6jvb2lIhBA9dODck4844sk-6lEsRJRS2kc390bpWrVBYWwws6px_lCXzWNwZ8G0YFVXvkIwcg6cq6Hpgs78fJq2XVmX7z6Y5hDtFapycLTdB-jh4nw2vgon08vr8WgS5oylOEyJoiLSAuuEF0AzlnEKHHguFBOk4MAIYaCTHBOqCpURzbXIaJGnWgkqYjpAp5u5rTUvC3CdrEuXQ1WpBszCSUIZJ5QIvELZBs2tcc5CIVtb1sq-SRzJVZHSFyl_F-m1k-0Pi6wG_SV9NucBvgGWpurAuudqsQQr56Cqbv7fbPaHuuZiKkISES_4EK5N-gEOXo-x</recordid><startdate>20200401</startdate><enddate>20200401</enddate><creator>Aronson, Solomon</creator><creator>Murray, Sutton</creator><creator>Martin, Gavin</creator><creator>Blitz, Jeanna</creator><creator>Crittenden, Timothy</creator><creator>Lipkin, Mike E.</creator><creator>Mantyh, Christopher R.</creator><creator>Lagoo-Deenadayalan, Sandhya A.</creator><creator>Flanagan, Ellen M.</creator><creator>Attarian, David E.</creator><creator>Mathew, Joseph P.</creator><creator>Kirk, Allan D.</creator><general>International Anesthesia Research Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20200401</creationdate><title>Roadmap for Transforming Preoperative Assessment to Preoperative Optimization</title><author>Aronson, Solomon ; Murray, Sutton ; Martin, Gavin ; Blitz, Jeanna ; Crittenden, Timothy ; Lipkin, Mike E. ; Mantyh, Christopher R. ; Lagoo-Deenadayalan, Sandhya A. ; Flanagan, Ellen M. ; Attarian, David E. ; Mathew, Joseph P. ; Kirk, Allan D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4471-72a390d91d68fe3b4b83e8e8c9a492f8e4224ed6c123afab2d8d9b3fc7da93953</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Ambulatory Surgical Procedures</topic><topic>Delivery of Health Care, Integrated</topic><topic>Documentation</topic><topic>Elective Surgical Procedures</topic><topic>Humans</topic><topic>Patient Care Team</topic><topic>Perioperative Care</topic><topic>Postoperative Complications - prevention & control</topic><topic>Preoperative Care - methods</topic><topic>Preoperative Care - standards</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aronson, Solomon</creatorcontrib><creatorcontrib>Murray, Sutton</creatorcontrib><creatorcontrib>Martin, Gavin</creatorcontrib><creatorcontrib>Blitz, Jeanna</creatorcontrib><creatorcontrib>Crittenden, Timothy</creatorcontrib><creatorcontrib>Lipkin, Mike E.</creatorcontrib><creatorcontrib>Mantyh, Christopher R.</creatorcontrib><creatorcontrib>Lagoo-Deenadayalan, Sandhya A.</creatorcontrib><creatorcontrib>Flanagan, Ellen M.</creatorcontrib><creatorcontrib>Attarian, David E.</creatorcontrib><creatorcontrib>Mathew, Joseph P.</creatorcontrib><creatorcontrib>Kirk, Allan D.</creatorcontrib><creatorcontrib>Perioperative Enhancement Team (POET)</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Anesthesia and analgesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aronson, Solomon</au><au>Murray, Sutton</au><au>Martin, Gavin</au><au>Blitz, Jeanna</au><au>Crittenden, Timothy</au><au>Lipkin, Mike E.</au><au>Mantyh, Christopher R.</au><au>Lagoo-Deenadayalan, Sandhya A.</au><au>Flanagan, Ellen M.</au><au>Attarian, David E.</au><au>Mathew, Joseph P.</au><au>Kirk, Allan D.</au><aucorp>Perioperative Enhancement Team (POET)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Roadmap for Transforming Preoperative Assessment to Preoperative Optimization</atitle><jtitle>Anesthesia and analgesia</jtitle><addtitle>Anesth Analg</addtitle><date>2020-04-01</date><risdate>2020</risdate><volume>130</volume><issue>4</issue><spage>811</spage><epage>819</epage><pages>811-819</pages><issn>0003-2999</issn><eissn>1526-7598</eissn><abstract>Preoperative assessment typically equates to evaluating and accepting the presenting condition of the patient (unless extreme) and commonly occurs only a few days before the planned surgery. While this timing enables a preoperative history and examination and mitigates unexpected findings on the day of surgery that may delay throughput, it does not allow for meaningful preoperative management of modifiable medical conditions. Evidence is limited regarding how best to balance efforts to mitigate modifiable risk factors versus the timing of surgery. Furthermore, while the concept of preoperative risk modification is not novel, evidence is lacking for successful and sustained implementation of such an interdisciplinary, collaborative program. A better understanding of perioperative care coordination and, specifically, implementing a preoperative preparation process can enhance the value of surgery and surgical population health. In this article, we describe the implementation of a collaborative preoperative clinic with the primary goal of improving patient outcomes.</abstract><cop>United States</cop><pub>International Anesthesia Research Society</pub><pmid>31990733</pmid><doi>10.1213/ANE.0000000000004571</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 0003-2999 |
ispartof | Anesthesia and analgesia, 2020-04, Vol.130 (4), p.811-819 |
issn | 0003-2999 1526-7598 |
language | eng |
recordid | cdi_proquest_miscellaneous_2348232915 |
source | MEDLINE; Journals@Ovid LWW Legacy Archive; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
subjects | Ambulatory Surgical Procedures Delivery of Health Care, Integrated Documentation Elective Surgical Procedures Humans Patient Care Team Perioperative Care Postoperative Complications - prevention & control Preoperative Care - methods Preoperative Care - standards Risk Assessment Risk Factors Treatment Outcome |
title | Roadmap for Transforming Preoperative Assessment to Preoperative Optimization |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-05T16%3A49%3A46IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Roadmap%20for%20Transforming%20Preoperative%20Assessment%20to%20Preoperative%20Optimization&rft.jtitle=Anesthesia%20and%20analgesia&rft.au=Aronson,%20Solomon&rft.aucorp=Perioperative%20Enhancement%20Team%20(POET)&rft.date=2020-04-01&rft.volume=130&rft.issue=4&rft.spage=811&rft.epage=819&rft.pages=811-819&rft.issn=0003-2999&rft.eissn=1526-7598&rft_id=info:doi/10.1213/ANE.0000000000004571&rft_dat=%3Cproquest_cross%3E2348232915%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2348232915&rft_id=info:pmid/31990733&rfr_iscdi=true |