Discharge criteria--a new trend

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
F Chung

Abstract

The safe, expeditious conduct of ambulatory surgical care can succeed only by careful selection of patients and procedures, appropriate intra- and postoperative anaesthetic management, and safe, timely discharge of patients. Discharge of patients should be achieved without compromising the quality of patient care. As the patients presenting for ambulatory surgery become more complex and compromised, and their surgical treatment more demanding, it is important to replace, or at least supplement, our existing qualitative, subjective method for evaluating patient discharge with a quantitative, objective technique to provide a simple and consistent method of determining home readiness. Practical discharge criteria or a postanaesthesia scoring system should be implemented in every ambulatory surgery centre to ensure safe recovery and discharge after anaesthesia. The Post-Anaesthesia Discharge Scoring System (PADSS) is simple, practical, easy to apply and to remember. In addition to permitting a uniform assessment of home readiness for patients, PADSS establishes a pattern of routine, repetitive evaluation of patients home readiness that is likely to contribute to improved patient outcome. In this way, PADSS also may have added medic...Continue Reading

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