J Perianesth Nurs
Duke Hospital Preanesthesia and Surgical Screening Clinic, Duke University, School of Nursing, Durham, NC. Electronic address:
Published: October 2024
Purpose: Preanesthesia screening is critical to evaluate the patient's medical and surgical history before any procedure or surgery to assess for risks and to optimize outcomes during the perioperative period. The purpose of this quality improvement project was to decrease the number of missed appointments in the outpatient preanesthesia and surgical screening clinic and the impact on provider satisfaction.
Design: The design of this quality improvement project was pre and post design. Automated and live phone calls reminders were provided for patients scheduled in the outpatient preanesthesia. Data were collected to compare missed appointment rates from a 3-month period before the project implementation and a 3-month period afterward.
Methods: Predata collection included the number of no-shows in the electronic health record system from the previous 3 months. Participants included all adult patients who are scheduled for a preanesthesia surgical screening appointment. Provider satisfaction was assessed using a 5-question survey, pre and postinnovation.
Findings: Reminder systems had a statistically significant impact on reducing the number of no-shows in the preanesthesia and surgical screening clinic. No significant impact was shown in provider satisfaction.
Conclusions: Implementation of a reminder system can help to reduce no-show rates in clinics. Patient no-shows overload the health system by reducing the productivity of providers and waste resources including use of clinic staff, longer wait times for other patients, and the timing providers put into chart preparation.
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http://dx.doi.org/10.1016/j.jopan.2023.12.030 | DOI Listing |
Indian J Thorac Cardiovasc Surg
February 2025
Department of Cardiovascular & Thoracic Surgery, Seth GS Medical College & KEM Hospital, Mumbai, Maharashtra India.
The subclavian artery's intrathoracic segment is a rare peripheral artery aneurysm site. Common causes are atherosclerosis, trauma, vasculitis, and infection. Subclavian artery aneurysms have a higher propensity for rupture, thrombosis, embolization, and compression of surrounding structures, thus necessitating urgent surgical care.
View Article and Find Full Text PDFJ Orthop Case Rep
January 2025
Department of Orthopaedics, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India.
Introduction: Olecranon fractures account for 5-7% of elbow fractures, making them a common injury. The majority of these fractures are treated surgically because they are intra-articular and can disrupt the elbow extensor mechanism. Mayo Type II fractures are displaced with a stable ulnohumeral joint, indicating intact ligamentous structures, particularly the anterior portion of the medial collateral ligament.
View Article and Find Full Text PDFA A Pract
January 2025
Department of Anesthesiology and Perioperative Medicine, Dartmouth Hitchcock Medical Center and Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
Background: Evaluations performed before the day of surgery at perioperative clinics have been shown to reduce patient mortality and hospital lengths of stay. These clinics are becoming increasingly adopted worldwide. As the number of older patients undergoing surgery continues to increase, understanding the perspectives of this patient population regarding the preoperative evaluation process is essential to tailor care to their needs and preferences.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
November 2024
McMaster University, Department of Surgery, Division of Plastic Surgery, Hamilton, ON, Canada; McMaster University, Department of Health Research Methods, Evidence and Impact (HEI), Hamilton, ON, Canada. Electronic address:
Background: In effort to improve post-operative outcomes, enhanced recovery after surgery (ERAS) protocols have gained popularity. The objective of this systematic review was to assess the reporting and methodological quality of plastic surgery ERAS studies.
Methods: All plastic surgery ERAS implementation studies, published between January 1, 2020, to November 20, 2023, were included.
J Thorac Dis
November 2024
Department of Thoracic Surgery and Oncology, The First Affiliated Hospital of Guangzhou Medical University, China National Center for Respiratory Medicine, China State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou, China.
Background: Short-term and long-term adverse events could occur after general anesthesia (GA) and the specific mechanism driving these effects has not yet been well-characterized. In this study, we aimed to evaluate the global effect of GA on DNA methylation in the cell-free DNA (cfDNA) of surgical lung-nodule patients.
Methods: This large retrospective cohort study enrolled 1,006 surgical lung nodule patients (529 pre-anesthesia, and 477 post-anesthesia).
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