Focused Anesthesia Interview Resource to Improve Efficiency and Quality

The impact of a structured preoperative protocol on day of surgery cancellations

“…Previous studies have reported a significant decrease in total DOS cancellation rates after implementing preoperative interventions or remodelling preoperative care processes. However, the results are not easily comparable to ours, as the definitions for DOS cancellations vary between studies (Boudreau & Gibson, ; Deng et al., ; Haufler & Harrington, ; Hovlid et al., ; McKendrick et al., ; Ming Teh et al., ; Muckler et al., ; Sebach et al., ) and for example the three category classification (patient, physician, hospital) presented by Tung, Dexter, Jakubczyk, and Glick () would have given too limited information for our study purposes (Dexter et al., ; Tung et al., ). Other studies are also based on limited patient groups (Boudreau & Gibson, ; Deng et al., ; Higson & Finlay, ) or were conducted in substantially smaller hospitals than in this study (Haufler & Harrington, ; Hovlid et al., ; McKendrick et al., ; Ming Teh et al., ; Muckler et al., ; Sebach et al., ; Siragusa et al., ).…”

“…The Z test has a single critical value that makes it more convenient than Student's t test, which has separate critical values for each sample size. Student's t test may be used with smaller sample sizes as the Z test is more convenient for use with larger sample sizes (Moore, McCabe, & Craig, ) and has been previously used in other studies (Deng et al., ; Muckler et al., ). Cancellations were compared between two time periods and the data collection periods were timed to same monthly periods from September–May.…”

“…It has been stated that the success of a preoperative process can be well monitored by last‐minute cancellations (Verma et al., ). Several comparative studies presented positive outcomes of interventions carried out in the preoperative process to reduce cancellations (Bathala et al., ; Boudreau & Gibson, ; Deng et al., ; Gheysari et al., ; Haufler & Harrington, ; Hovlid et al., ; McKendrick et al., ; Ming Teh et al., ; Muckler et al., ; Sebach et al., ; Siragusa et al., ) (Table ). To the best of our knowledge, this is the first study to evaluate the impact of implementing an evidence‐based and structured preoperative protocol in a university hospital with all operative specialties included while also searching for meaningful factors in organising preoperative care to reduce day of cancellations.…”

Manual de práctica clínica basado en la evidencia: preparación del paciente para el acto quirúrgico y traslado al quirófano

“…El tiempo asignado a la consulta de la valoración preanestésica se puede optimizar mediante el uso de cuestionarios (tabla 4) que no sustituyen la valoración del anestesiólogo sino que facilitan la identificación de puntos importantes y que documentan las respuestas de los pacientes 10 . Idealmente, la valoración preanestésica se debe realizar por lo menos una semana antes de un procedimiento quirúr-gico programado con el fin de hacer una adecuada educación del paciente.…”

Evidence-based clinical practice manual: Patient preparation for surgery and transfer to the operating room

“…These are not meant to replace the assessment by the anaesthetist but rather to facilitate identification of important points, and to document patient responses. 10 Ideally, the pre-anaesthesia assessment must be done at least one week before an elective surgical procedure in order to allow time to provide adequate patient education. It is worth noting that this time interval may be adjusted to suit the specific characteristics of the individual patient and the type of surgical procedure.…”