Preoperative screening and the influence on cancellations and transfers: an ambulatory surgical facility collaboration

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
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