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...

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Veröffentlicht in:Anesthesia and analgesia 2020-04, Vol.130 (4), p.811-819
Hauptverfasser: 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.
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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
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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
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