Pediatric hernia repair: 1-stop shopping

Barnett, Sean J.; Frischer, Jason S.; Gaskey, John A.; Ryckman, Frederick C.; Allmen, Daniel von

doi:10.1016/j.jpedsurg.2011.10.047

Cited by 19 publications

(12 citation statements)

References 7 publications

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“…We highlight patients were not excluded due to co-morbidity, age or obesity and this is the first series containing multiple hernia types. One-stop series of open [10] and TEP inguinal hernia repairs [11,12], laparoscopic cholecystectomies [13] and paediatric surgery [14,15] have previously been reported confirming proof of principle. In contrast to these reports, our patients were seen and examined within the day surgery unit alone and had no contact with any preassessment service.…”

Section: Discussionmentioning

confidence: 66%

Single hospital visit day case laparoscopic hernia repair without prior outpatient consultation is safe and acceptable to patients

2016

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Section: Discussionmentioning

confidence: 66%

Single hospital visit day case laparoscopic hernia repair without prior outpatient consultation is safe and acceptable to patients

2016

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“…In general, parents report high levels of satisfaction with day surgery, particularly in the areas of information provision, convenience, ease of scheduling, clinical care, and rapid recovery. [87][88][89][90][91] One factor within the day surgery setting that has received much attention is parental presence during anesthesia induction. Although this body of literature does not support parental presence as positively impacting child distress, parents generally report a preference to be present at induction.…”

Section: Child Modifiable Factors: Day Surgery and Perioperative Interventionsmentioning

confidence: 99%

Factors impacting parental and child satisfaction in the perioperative setting

Mendoza

Fortier

Trinh

et al. 2021

Pediatric Anesthesia

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Previously, the medical community held the view that the only 'real' patient-related outcomes are those that have direct impact on morbidity and mortality. This view has changed significantly over the last decade, and currently, issues such as patient satisfaction and quality of life are often considered as important as clinical morbidity. 1 This shift is echoed in recent studies in the anesthesia literature that suggest that patient satisfaction should serve as an important endpoint and indicator of overall quality of anesthesia care. 2,3 Previous research on patient experience in medical and surgical settings has primarily focused on adult patients, whereas little data exist on satisfaction among children and their parents. 4 Previously, our center reported that the themes of modifiable and non-modifiable factors for adult surgical patients include satisfaction from clinician communication skills, information provision to patients, organization aspects of the unit, and demographic and health status predictors. 3 This follow-up special interest article focuses on modifiable and non-modifiable factors in children undergoing surgical procedures and their parents. A summary of articles included in this review is shown in Tables 1-3. | ME A SURING PEDIATRIC PERI OPER ATIVE PATIENT SATIS FAC TI ONIt is important to appreciate that developmental factors such as age and verbal and cognitive ability impact assessment of patient satisfaction in pediatric populations. Research suggests that children as young as four years old can express their opinion on their hospital

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“…Single visit surgery (SVS) or "one-stop surgery" is an example of an innovative healthcare delivery model that has been associated with excellent patient satisfaction ratings and cost-savings to caregivers. [1][2][3][4][5] In this approach, the patient sees their surgeon for preoperative consultation on the same day as their surgical procedure. The SVS model was first described by Tagge et al 6 in 1999, who reported their experiences performing a variety of uncomplicated pediatric surgical procedures on 51 patients.…”

Section: Introductionmentioning

confidence: 99%

“…Descriptions of SVS programs have centered on pediatric surgical procedures such as umbilical and inguinal hernia repair, in which diagnoses are often easily recognized by the referring provider and often translate to a surgical procedure. [2][3][4][5][6][7][8] Similarly, single visit programs have been successfully implemented and described in adults for procedures including laparoscopic hernia repair 9 and dermatologic surgery. 10 SVS for tympanostomy tube (TT) placement in children with recurrent acute otitis media (AOM) was developed at our institution.…”

Section: Introductionmentioning

confidence: 99%

“…Single visit surgery (SVS) or “one‐stop surgery” is an example of an innovative healthcare delivery model that has been associated with excellent patient satisfaction ratings and cost‐savings to caregivers 1–5 . In this approach, the patient sees their surgeon for preoperative consultation on the same day as their surgical procedure.…”

Section: Introductionmentioning

confidence: 99%

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Single Visit Evaluation and Tympanostomy Tube Placement for the Treatment of Acute Otitis Media in Children

2021

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Objective: To review our experiences with development of a single visit surgery (SVS) program for children with recurrent acute otitis media (AOM) undergoing tympanostomy tube (TT) placement the same day as their otolaryngology surgical consultation.Study Design: Retrospective cohort analysis. Methods: Retrospective series of patients participating in SVS from inception March 1, 2014 to April 30, 2020 were analyzed, with attention to factors associated with increasing interest and participation in SVS and parent experiences/ satisfaction.Results: A total of 224 children had TT placed through SVS for AOM management. The average age of patients was 18.1 months (standard deviation 7.8 months), and 130 (58.0%) were male. The median interval between initial contact to schedule SVS, and the SVS date was 15 days (interquartile range 9-23 days). When analyzing year-over-year volumes from inception of SVS, notable increases were seen in 2016 and 2017 after a radio advertisement was played locally. A marked increase in volume was noted after implementation of a Decision Tree Scheduling (DTS) algorithm for children with recurrent AOM. Sixty-six (28.8%) procedures were performed after institution of DTS. A parent survey demonstrated high levels of satisfaction with the SVS experience. Estimations of savings to families in terms of time away from work demonstrated potential for indirect healthcare benefits.Conclusions: SVS for TT placement was a successful, alternative model of care for management of children with AOM. Marketing strategies regarding SVS, and the inclusion of SVS pathway in DTS platforms increased rates of interest and choice of this option. Parents of children undergoing TT through SVS were satisfied with the overall experience.

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Pediatric hernia repair: 1-stop shopping

Cited by 19 publications

References 7 publications

Single hospital visit day case laparoscopic hernia repair without prior outpatient consultation is safe and acceptable to patients

Single hospital visit day case laparoscopic hernia repair without prior outpatient consultation is safe and acceptable to patients

Factors impacting parental and child satisfaction in the perioperative setting

Single Visit Evaluation and Tympanostomy Tube Placement for the Treatment of Acute Otitis Media in Children

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