Implementation of a Preanesthetic Telehealth Visit to Reduce Day-of-Surgery Cancellations

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2025-04-01 DOI:10.1016/j.jopan.2024.05.022

Elizabeth Wolgemuth DNP, CRNA, Jessica Glackin DNP, CRNA, Anh Bao Linquist DNP, CRNA, Jamie Dorman DNP, CRNA, Emily Somanath DNP, CRNA, Michelle Canale DNP, CRNA, FAANA, Erik Rauch DNP, MBA, CRNA, NSPM-C

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引用次数: 0

Abstract

Purpose

The purpose of the telehealth preanesthesia clinic (PAC) is to reduce the number of day-of-surgery (DOS) cancellations through the implementation of an algorithm-based standardized protocol.

Design

A prospective quality improvement project with pre and post assessment.

Methods

One hundred and fifty preoperative and postoperative surgical chart reviews using the Focus, Analyze, Develop, Execute, and Evaluate model. Retrospective chart reviews were conducted via the electronic health record to collect DOS cancellation counts along with reason for cancellation for a 6-week period prior to implementation, and a 6-week period postimplementation based on inclusion and exclusion criteria.

Findings

The implementation of a telehealth PAC using TEMPO (transition and action, evaluation and significant history, medications, procedure and condition, and overall plan) protocols resulted in a statistically significant reduction in DOS cancellations from 3.38% to 1.72%.

Conclusions

Postimplementation findings support the use of a telehealth PAC to reduce DOS cancellations.

查看原文本刊更多论文

实施麻醉前远程医疗访问以减少手术当天的取消。

目的：远程医疗麻醉前门诊（PAC）的目的是通过实施基于算法的标准化方案，减少手术日（DOS）取消的次数：设计：前瞻性质量改进项目，进行术前和术后评估：方法：采用 "关注、分析、开发、执行和评估 "模式，对 150 份术前和术后手术病历进行审查。根据纳入和排除标准，通过电子病历进行病历回顾，收集实施前 6 周和实施后 6 周的 DOS 取消计数和取消原因：使用 TEMPO（过渡和行动、评估和重要病史、药物、程序和条件以及整体计划）协议实施远程医疗 PAC 后，DOS 取消率从 3.38% 降至 1.72%，差异有统计学意义：结论：实施后的研究结果支持使用远程医疗 PAC 来减少 DOS 取消率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.