%0 Journal Article %1 Parker:2000:J-Clin-Anesth:11025233 %A Parker, B M %A Tetzlaff, J E %A Litaker, D L %A Maurer, W G %D 2000 %J J Clin Anesth %K information technology patient safety %N 5 %P 350-356 %T Redefining the preoperative evaluation process and the role of the anesthesiologist %U http://www.ncbi.nlm.nih.gov/pubmed/11025233 %V 12 %X To assess the effects of implementing an ambulatory and same-day surgery preoperative evaluation patient triage system over a 3-year period.Retrospective analysis of 63,941 ambulatory surgical patients presenting for elective surgery.Tertiary care, academic medical institution.The following preoperative evaluation model components were implemented over a 3-year period: HealthQuest, which is an outpatient preoperative assessment computer program developed by the Department of General Anesthesiology; a general internal medicine clinic designated specifically for preoperative evaluation and medical optimization; disease specific algorithms for both preoperative patient assessment and management; and a preoperative anesthesia clinic that no longer performs preoperative medical optimization.During the 3-year study period ambulatory and same-day surgical case volume increased 34.7%. A total of 50,967 patients used HealthQuest as part of their preoperative evaluation. Of these patients 22,744 (35.6%) did not need to see an anesthesiologist until the day of surgery as guided by both a computer-assigned HealthQuest score and surgical classification scheme. Also, 41,197 patients were evaluated in our anesthesia preoperative clinic with a cost per evaluation of \$24.86, which increased only 0.9% per year. In addition, both patient interview time and patient dissatisfaction with the preoperative process decreased over the 3-year period. There were 20, 088 patient encounters in the general internal medicine clinic for patient medical evaluation and optimization. The average monthly preoperative surgical delay rate decreased 49% during the study period. Finally, significant monetary saving resulted due to decreased unnecessary laboratory testing.Efficient, cost-effective patient care can be provided by using this preoperative evaluation model. Some institutions may find portions of this preoperative model applicable to their current situation.

@article{Parker:2000:J-Clin-Anesth:11025233, abstract = {To assess the effects of implementing an ambulatory and same-day surgery preoperative evaluation patient triage system over a 3-year period.Retrospective analysis of 63,941 ambulatory surgical patients presenting for elective surgery.Tertiary care, academic medical institution.The following preoperative evaluation model components were implemented over a 3-year period: HealthQuest, which is an outpatient preoperative assessment computer program developed by the Department of General Anesthesiology; a general internal medicine clinic designated specifically for preoperative evaluation and medical optimization; disease specific algorithms for both preoperative patient assessment and management; and a preoperative anesthesia clinic that no longer performs preoperative medical optimization.During the 3-year study period ambulatory and same-day surgical case volume increased 34.7%. A total of 50,967 patients used HealthQuest as part of their preoperative evaluation. Of these patients 22,744 (35.6%) did not need to see an anesthesiologist until the day of surgery as guided by both a computer-assigned HealthQuest score and surgical classification scheme. Also, 41,197 patients were evaluated in our anesthesia preoperative clinic with a cost per evaluation of \$24.86, which increased only 0.9% per year. In addition, both patient interview time and patient dissatisfaction with the preoperative process decreased over the 3-year period. There were 20, 088 patient encounters in the general internal medicine clinic for patient medical evaluation and optimization. The average monthly preoperative surgical delay rate decreased 49% during the study period. Finally, significant monetary saving resulted due to decreased unnecessary laboratory testing.Efficient, cost-effective patient care can be provided by using this preoperative evaluation model. Some institutions may find portions of this preoperative model applicable to their current situation.}, added-at = {2012-07-19T00:35:05.000+0200}, author = {Parker, B M and Tetzlaff, J E and Litaker, D L and Maurer, W G}, biburl = {https://www.bibsonomy.org/bibtex/21a5c5f747449386e87ef69ab20e79747/culpepmw}, description = {Redefining the preoperative evaluation process... [J Clin Anesth. 2000] - PubMed - NCBI}, interhash = {f6b3ec26ad2c970c0003a5bc31f2f242}, intrahash = {1a5c5f747449386e87ef69ab20e79747}, journal = {J Clin Anesth}, keywords = {information technology patient safety}, month = aug, number = 5, pages = {350-356}, pmid = {11025233}, timestamp = {2012-07-19T01:19:25.000+0200}, title = {Redefining the preoperative evaluation process and the role of the anesthesiologist}, url = {http://www.ncbi.nlm.nih.gov/pubmed/11025233}, volume = 12, year = 2000 }