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10.1186/s13741-015-0022-z

http://scihub22266oqcxt.onion/10.1186/s13741-015-0022-z
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C4674935!4674935!26664719
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suck abstract from ncbi


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pmid26664719      Perioper+Med+(Lond) 2015 ; 4 (ä): ä
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  • Day of surgery cancellation rate after preoperative telephone nurse screening or comprehensive optimization visit #MMPMID26664719
  • Olson RP; Dhakal IB
  • Perioper Med (Lond) 2015[]; 4 (ä): ä PMID26664719show ga
  • Background: Structured preoperative assessment has been reported to improve operating room efficiency as measured by metrics such as day of surgery cancellations (DOSCs). However, not all patients require comprehensive assessment; routine full assessments can result in unnecessary duplication of tests and investigations. Selective nurse screening under the supervision of anesthesiology may provide adequate information gathering in lower risk patients. This study is undertaken to assess if DOSC rates vary with different assessment processes. Methods: At a single academic tertiary care hospital, from Jan 2 to May 31, 2013, the consecutive patients undergoing comprehensive preoperative assessment (CPA) and nurse screening (NS), as well as the patients not assessed by the anesthesiology-supervised preoperative process, were followed for the occurrence and reason for DOSC. The operating room schedule of all elective surgery patients was analyzed to allow calculation of rates of DOSCs. Reasons for cancellations were documented as one of ten structured reasons by preoperative holding area clerical staff. Results: Overall, there were 14,893 elective surgery patients in this time period, with 183 DOSCs, giving a rate of 1.23 % (95 % CI 1.06, 1.42). Patients who received CPA numbered 5980; 29 of them had a DOSC, giving a rate of 0.48 % (95 % CI 0.33?0.70) (P?
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