The Pennsylvania Patient Safety Authority developed and administered a statewide survey to inform its ambulatory surgical facility (ASF) collaboration that examines presurgical screening and assessment processes and the frequency of ASF cancellations and transfers. The results identified that 37.4% of facilities have implemented an electronic health record and 41.7% receive medical forms electronically. Secretaries and schedulers are the primary contact person 11.7% of the time for preoperative screening and 20.5% of the time for preoperative instructions. The 2010 ASF transfer rate was 1.16 per 1,000 completed procedures, and cardiac conditions were the most frequent reason for an ASF transfer. The 2010 ASF cancellation rate was 18.09 per 1,000 completed procedures, and medical conditions were the most frequent reason for an ASF cancellation. The baseline ASF prescreening activities, transfer rates and reasons, and cancellation rates and reasons obtained in this survey provide direction for the Ambulatory Surgical Facility Preoperative Prescreening and Assessment Collaboration.
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