Development and implementation of a dedicated postoperative evaluation service to improve compliance of postoperative visits

Journal of Anaesthesiology, Clinical Pharmacology
Joshua Charles VacantiBhavani Shankar Kodali

Abstract

Postoperative patient evaluation is an integral component of perioperative care. An audit of our anesthesia department's records demonstrated a compliance rate of <50%. We postulated that the development of clinical anesthesia service dedicated to performing such evaluations would improve compliance significantly. This retrospective study examined postoperative follow-up completion rate at a large academic center. Data were collected from 58,000 anesthetics during three periods, between each of which an intervention was introduced. The first period examined completion rate when postoperative evaluations were left to the team performing the anesthetic. During the second period, this task was delegated to groups of anesthesiologists based on surgical subspecialty; these smaller groups utilized rotating residents. The third period examined completion rate after implementation of a postoperative evaluation service. All periods utilized the department's electronics database to identify operative patients. The number of adverse anesthesia events reported was also recorded. A significant difference in the proportions of compliance with postoperative evaluations among all three periods was detected. Compliance was 47% during period one...Continue Reading

References

Mar 1, 1980·Canadian Anaesthetists' Society Journal·M Burnham, D B Craig
Jul 25, 2007·Anesthesia and Analgesia·Maurizia CapuzzoRaffaele Alvisi
Apr 9, 2009·Anesthesiology·Guy HallerJohn McNeil
Mar 10, 2011·Anesthesia and Analgesia·Laurent G GlanceRichard P Dutton
Mar 31, 2011·Anesthesiology·Mark D Neuman
May 10, 2011·Best Practice & Research. Clinical Anaesthesiology·Julia MetznerKaren B Domino
Feb 1, 2013·Anesthesiology·Jeffrey L ApfelbaumUNKNOWN American Society of Anesthesiologists Task Force on Postanesthetic Care

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Citations

Sep 15, 2016·Journal of Anaesthesiology, Clinical Pharmacology·Stefan A IanchulevRoman Schumann

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