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%.
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)