Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinical and Biomedical Research |
Texto Completo: | https://seer.ufrgs.br/index.php/hcpa/article/view/82912 |
Resumo: | Introduction: Anesthesia preoperative evaluation clinics (APECs) are useful for high-risk surgical patient care, as they improve perioperative outcomes and optimize patient care flow. At Hospital de Clínicas de Porto Alegre, APEC assesses 20% of all patients undergoing surgery, showing the importance of implementing strategies to improve outpatient clinic efficiency by prioritizing high-risk patients.Methods: Using a specific quality management tool for process improvement (PDCA, which stands for Plan/Do/Check/Act), new protocols were developed for patient referral and preoperative evaluation. Clinical staff was trained in the new routines, and an electronic screening system for patient referral was adopted. Data on patient profiles, referring surgical specialties, type of surgery, and waiting times for appointment and surgical procedure were compared before and after the intervention.Results: APEC performed 1,286 appointments between 2013 and 2016, including 733 pre-intervention and 553 post-intervention. There was a significant decrease in the appointments for patients undergoing minor surgery and an increase in the appointments for those undergoing major surgery. The waiting time between referral to APEC and first APEC appointment reduced from 46 to 16 days. In addition, there was an increase in vascular, orthopedic, and urology referrals, as well as a reduction in ophthalmology and general surgery referrals. Conclusion: The PDCA method assisted with conceiving, executing, and monitoring the implemented strategies for changing the profile of patients evaluated at APEC. The major challenge is to measure the long-term impact of this intervention and expand care through specific strategies for surgical specialties and procedures. KEYWORDS: Preanesthesia evaluation; preoperative evaluation; preoperative stratification; risk stratification |
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Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flowAnesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flowPreanesthesia evaluationpreoperative evaluationpreoperative stratificationrisk stratificationPreanesthesia evaluationpreoperative evaluationpreoperative stratificationrisk stratificationAnesthesiaIntroduction: Anesthesia preoperative evaluation clinics (APECs) are useful for high-risk surgical patient care, as they improve perioperative outcomes and optimize patient care flow. At Hospital de Clínicas de Porto Alegre, APEC assesses 20% of all patients undergoing surgery, showing the importance of implementing strategies to improve outpatient clinic efficiency by prioritizing high-risk patients.Methods: Using a specific quality management tool for process improvement (PDCA, which stands for Plan/Do/Check/Act), new protocols were developed for patient referral and preoperative evaluation. Clinical staff was trained in the new routines, and an electronic screening system for patient referral was adopted. Data on patient profiles, referring surgical specialties, type of surgery, and waiting times for appointment and surgical procedure were compared before and after the intervention.Results: APEC performed 1,286 appointments between 2013 and 2016, including 733 pre-intervention and 553 post-intervention. There was a significant decrease in the appointments for patients undergoing minor surgery and an increase in the appointments for those undergoing major surgery. The waiting time between referral to APEC and first APEC appointment reduced from 46 to 16 days. In addition, there was an increase in vascular, orthopedic, and urology referrals, as well as a reduction in ophthalmology and general surgery referrals. Conclusion: The PDCA method assisted with conceiving, executing, and monitoring the implemented strategies for changing the profile of patients evaluated at APEC. The major challenge is to measure the long-term impact of this intervention and expand care through specific strategies for surgical specialties and procedures. KEYWORDS: Preanesthesia evaluation; preoperative evaluation; preoperative stratification; risk stratification Introduction: Anesthesia preoperative evaluation clinics (APECs) are useful for high-risk surgical patient care, as they improve perioperative outcomes and optimize patient care flow. At Hospital de Clínicas de Porto Alegre, APEC assesses 20% of all patients undergoing surgery, showing the importance of implementing strategies to improve outpatient clinic efficiency by prioritizing high-risk patients. Methods: Using a specific quality management tool for process improvement (PDCA, which stands for Plan/Do/Check/Act), new protocols were developed for patient referral and preoperative evaluation. Clinical staff was trained in the new routines, and an electronic screening system for patient referral was adopted. Data on patient profiles, referring surgical specialties, type of surgery, and waiting times for appointment and surgical procedure were compared before and after the intervention. Results: APEC performed 1,286 appointments between 2013 and 2016, including 733 pre-intervention and 553 post-intervention. There was a significant decrease in the appointments for patients undergoing minor surgery and an increase in the appointments for those undergoing major surgery. The waiting time between referral to APEC and first APEC appointment reduced from 46 to 16 days. In addition, there was an increase in vascular, orthopedic, and urology referrals, as well as a reduction in ophthalmology and general surgery referrals. Conclusion: The PDCA method assisted with conceiving, executing, and monitoring the implemented strategies for changing the profile of patients evaluated at APEC. The major challenge is to measure the long-term impact of this intervention and expand care through specific strategies for surgical specialties and procedures. KEYWORDS: Preanesthesia evaluation; preoperative evaluation; preoperative stratification; risk stratification HCPA/FAMED/UFRGS2018-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed ArticleAvaliado por Paresapplication/pdfhttps://seer.ufrgs.br/index.php/hcpa/article/view/82912Clinical & Biomedical Research; Vol. 38 No. 3 (2018): Clinical and Biomedical ResearchClinical and Biomedical Research; v. 38 n. 3 (2018): Clinical and Biomedical Research2357-9730reponame:Clinical and Biomedical Researchinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSenghttps://seer.ufrgs.br/index.php/hcpa/article/view/82912/pdfCopyright (c) 2018 Clinical and Biomedical Researchinfo:eu-repo/semantics/openAccessAlboim, CarolinaTeixeira, Alice BeckerSoares, Luciana EltzMachado, Vanda ReginaStefani, Luciana Cadore2024-01-19T14:22:48Zoai:seer.ufrgs.br:article/82912Revistahttps://www.seer.ufrgs.br/index.php/hcpaPUBhttps://seer.ufrgs.br/index.php/hcpa/oai||cbr@hcpa.edu.br2357-97302357-9730opendoar:2024-01-19T14:22:48Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS)false |
dc.title.none.fl_str_mv |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow |
title |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow |
spellingShingle |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow Alboim, Carolina Preanesthesia evaluation preoperative evaluation preoperative stratification risk stratification Preanesthesia evaluation preoperative evaluation preoperative stratification risk stratification Anesthesia |
title_short |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow |
title_full |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow |
title_fullStr |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow |
title_full_unstemmed |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow |
title_sort |
Anesthesia preoperative evaluation clinic (APEC) restructuring plan for improving the quality of surgical patient flow |
author |
Alboim, Carolina |
author_facet |
Alboim, Carolina Teixeira, Alice Becker Soares, Luciana Eltz Machado, Vanda Regina Stefani, Luciana Cadore |
author_role |
author |
author2 |
Teixeira, Alice Becker Soares, Luciana Eltz Machado, Vanda Regina Stefani, Luciana Cadore |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Alboim, Carolina Teixeira, Alice Becker Soares, Luciana Eltz Machado, Vanda Regina Stefani, Luciana Cadore |
dc.subject.por.fl_str_mv |
Preanesthesia evaluation preoperative evaluation preoperative stratification risk stratification Preanesthesia evaluation preoperative evaluation preoperative stratification risk stratification Anesthesia |
topic |
Preanesthesia evaluation preoperative evaluation preoperative stratification risk stratification Preanesthesia evaluation preoperative evaluation preoperative stratification risk stratification Anesthesia |
description |
Introduction: Anesthesia preoperative evaluation clinics (APECs) are useful for high-risk surgical patient care, as they improve perioperative outcomes and optimize patient care flow. At Hospital de Clínicas de Porto Alegre, APEC assesses 20% of all patients undergoing surgery, showing the importance of implementing strategies to improve outpatient clinic efficiency by prioritizing high-risk patients.Methods: Using a specific quality management tool for process improvement (PDCA, which stands for Plan/Do/Check/Act), new protocols were developed for patient referral and preoperative evaluation. Clinical staff was trained in the new routines, and an electronic screening system for patient referral was adopted. Data on patient profiles, referring surgical specialties, type of surgery, and waiting times for appointment and surgical procedure were compared before and after the intervention.Results: APEC performed 1,286 appointments between 2013 and 2016, including 733 pre-intervention and 553 post-intervention. There was a significant decrease in the appointments for patients undergoing minor surgery and an increase in the appointments for those undergoing major surgery. The waiting time between referral to APEC and first APEC appointment reduced from 46 to 16 days. In addition, there was an increase in vascular, orthopedic, and urology referrals, as well as a reduction in ophthalmology and general surgery referrals. Conclusion: The PDCA method assisted with conceiving, executing, and monitoring the implemented strategies for changing the profile of patients evaluated at APEC. The major challenge is to measure the long-term impact of this intervention and expand care through specific strategies for surgical specialties and procedures. KEYWORDS: Preanesthesia evaluation; preoperative evaluation; preoperative stratification; risk stratification |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Avaliado por Pares |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/82912 |
url |
https://seer.ufrgs.br/index.php/hcpa/article/view/82912 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://seer.ufrgs.br/index.php/hcpa/article/view/82912/pdf |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Clinical and Biomedical Research info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Clinical and Biomedical Research |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
publisher.none.fl_str_mv |
HCPA/FAMED/UFRGS |
dc.source.none.fl_str_mv |
Clinical & Biomedical Research; Vol. 38 No. 3 (2018): Clinical and Biomedical Research Clinical and Biomedical Research; v. 38 n. 3 (2018): Clinical and Biomedical Research 2357-9730 reponame:Clinical and Biomedical Research instname:Universidade Federal do Rio Grande do Sul (UFRGS) instacron:UFRGS |
instname_str |
Universidade Federal do Rio Grande do Sul (UFRGS) |
instacron_str |
UFRGS |
institution |
UFRGS |
reponame_str |
Clinical and Biomedical Research |
collection |
Clinical and Biomedical Research |
repository.name.fl_str_mv |
Clinical and Biomedical Research - Universidade Federal do Rio Grande do Sul (UFRGS) |
repository.mail.fl_str_mv |
||cbr@hcpa.edu.br |
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1799767054628159488 |