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The quality of the preoperative assessment of patients undergoing elective surgery at Leicester General Hospital was improved with the introduction of the three interventions described. The interventions used were simple, reproducible, and cost effective, and improvements will be maintained even with different staff.
3 Ιουλ 2021 · Patients scheduled for elective procedures will generally attend a pre-operative assessment 2-4 weeks before the date of their surgery. In this article, we shall look at the components of an effective pre-operative history, examination, and routine investigations that can be performed.
Pre-operative assessment. You'll be asked to attend a pre-operative assessment. This is an appointment with a nurse, either in person or as a video or telephone call. You'll be asked questions about your health, medical history and home circumstances. If the assessment involves a visit to the hospital, some tests may be carried out.
The NHS Institute for Improvement and Innovation [1] notes that pre-operative assessment helps to ensure that patients understand their procedure and are well informed; in good health before their procedure, and have the best chance of good post-operative recovery.
1 Δεκ 2015 · The purpose of pre-operative assessment clinics is to assess probabilities of harm and benefit for different treatment options, to optimise fitness, to engage in shared decision-making and to plan peri-operative care.
Evidence-based guidelines on preoperative evaluation are available to assist practitioners in managing cardiovascular disease, and communicating surgical risks. Shared decision making in the preoperative period can improve surgical outcomes and patient satisfaction.
In perioperative care, this team works synchronously with the teams preparing patients for surgery in pre-assessment and surgical clinics. Comprehensive geriatric assessment takes place in a community, outpatient or inpatient setting.
