Preoperative screening and the influence on cancellations and transfers: an ambulatory surgical facility collaboration
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Pennsylvania patient safety advisory
- Author(s):
- Gardner, Lea Anne, author Bomboy, Jeff, author
- Contributor(s):
- Pennsylvania. Patient Safety Authority, issuing body. ECRI (Organization), issuing body. Institute for Safe Medication Practices, issuing body.
- Publication:
- [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2014]
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Cooperative Behavior Nursing Care Patient Transfer -- statistics & numerical data Preoperative Care -- methods Surgicenters Treatment Refusal -- statistics & numerical data Appointments and Schedules Checklist Surgical Procedures, Operative Time Factors Humans Pennsylvania United States
- Genre(s):
- Technical Report
- Abstract:
- Ambulatory surgical facilities (ASFs) in the northeast region of Pennsylvania and the Pennsylvania Patient Safety Authority worked in collaboration to reduce day-of-surgery (DOS) cancellations and transfers to a hospital through the implementation of a nurse-driven preoperative screening and assessment. Implementation of a standardized checklist, initiation of a second preoperative patient phone call, and evaluation of preoperative patient oral and written instructions were interventions implemented in the 18-month collaboration. No-show cancellation rates were 120% higher in patients lacking a preoperative screening and assessment compared with patients screened preoperatively during the postintervention period. Transportation-related and protocol-related DOS cancellations decreased by 28.5% and 22.4%, respectively, in patients receiving a preoperative screening and assessment using a standardized checklist. ASF transfer rates decreased during the postintervention period by 6.3%.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (pages 15-22))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101630041 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101630041