Tracking ambulatory surgical facility cancellations and transfers: lessons learned from an 18-month collaboration

Tracking ambulatory surgical facility cancellations and transfers: lessons learned from an 18-month collaboration

Collection:
Health Policy and Services Research
Series Title(s):
Pennsylvania patient safety advisory
Author(s):
Gardner, Lea Anne, 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, September 2014
Language(s):
English
Format:
Text
Subject(s):
Appointments and Schedules
Interviews as Topic
Nursing Assessment
Patient Compliance
Patient Transfer -- statistics & numerical data
Preoperative Care -- nursing
Surgicenters -- statistics & numerical data
Pennsylvania
United States
Genre(s):
Technical Report
Abstract:
In 2012, 11 ambulatory surgical facilities (ASFs) in the northeast region of Pennsylvania worked in collaboration with the Pennsylvania Patient Safety Authority to address the nurse-driven preoperative screening and assessment process in an effort to reduce day-of-surgery (DOS) cancellations and transfers. The ASFs tracked the time when the nurse-driven preoperative screening and assessment process was completed (e.g., 24 hours prior to the DOS). A statistically significant difference was noted between no-show DOS cancellation rates in patients with and patients without a preoperative screening and assessment. Reasons for DOS cancellations and transfers and types of surgeries or procedures were also tracked. To continue the identification of DOS cancellations and transfers, the ASF Cancellation and Transfer Tracking tool was developed to identify trends regarding when a nurse-driven preoperative screening and assessment process has been completed, reasons for DOS cancellations or transfers, types of surgeries or procedures in patients who cancelled or were transferred, and patient characteristics associated with patient transfers. Identifying reasons for patient cancellations and transfers to an acute care hospital provides context about patient circumstances or situations that can assist healthcare staff in developing appropriate solutions to reduce their occurrence and improve patient care.
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 109-114)).
NLM Unique ID:
101641564 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101641564