A Simple Screening Tool Reduces Unnecessary Preoperative Evaluation for Cataract Surgery.

IF 1.2 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Quality Management in Health Care Pub Date : 2024-12-09 DOI:10.1097/QMH.0000000000000491

Thomas R Hickey, James Kempton, Daniel G Federman

引用次数: 0

Abstract

Background and objectives: Cataract surgery is common and low-risk. Preoperative evaluation and preoperative testing have not been shown to improve patient outcomes but do increase cost. Our process improvement aimed to reduce unnecessary preoperative primary care evaluation for cataract surgery.

Methods: We implemented a simple process involving a brief chart review and conversation with the patient to determine the appropriateness of preoperative primary care evaluations. After implementation of the screening tool, we reviewed 100 patient charts, 50 who underwent cataract surgery prior to and 50 after the intervention.

Results: The screening tool resulted in a decrease in primary care provider referrals from 100% to 4% and a decrease in primary care provider evaluation from 94% to 6%.

Conclusion: Implementation of a simple screening tool resulted in a dramatic decrease in unnecessary primary care preoperative testing.

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一种简单的筛查工具减少白内障手术术前不必要的评估。

背景和目的：白内障手术是一种常见且低风险的手术。术前评估和术前检查没有显示可以改善患者的预后，但确实增加了成本。我们的流程改进旨在减少白内障手术术前不必要的初级保健评估。方法：我们实施了一个简单的过程，包括简短的图表回顾和与患者的对话，以确定术前初级保健评估的适当性。在使用筛查工具后，我们回顾了100例患者的病历，其中50例在干预前做过白内障手术，50例在干预后做过。结果：筛查工具导致初级保健提供者转诊从100%下降到4%，初级保健提供者评估从94%下降到6%。结论：一个简单的筛查工具的实施导致了不必要的初级保健术前检查的显著减少。

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

Quality Management in Health Care HEALTH CARE SCIENCES & SERVICES-

CiteScore

1.90

自引率

8.30%

发文量

108

期刊介绍： Quality Management in Health Care (QMHC) is a peer-reviewed journal that provides a forum for our readers to explore the theoretical, technical, and strategic elements of health care quality management. The journal''s primary focus is on organizational structure and processes as these affect the quality of care and patient outcomes. In particular, it: -Builds knowledge about the application of statistical tools, control charts, benchmarking, and other devices used in the ongoing monitoring and evaluation of care and of patient outcomes; -Encourages research in and evaluation of the results of various organizational strategies designed to bring about quantifiable improvements in patient outcomes; -Fosters the application of quality management science to patient care processes and clinical decision-making; -Fosters cooperation and communication among health care providers, payers and regulators in their efforts to improve the quality of patient outcomes; -Explores links among the various clinical, technical, administrative, and managerial disciplines involved in patient care, as well as the role and responsibilities of organizational governance in ongoing quality management.