Chan C Y W, Nam H Y, Raveenthiran R, Choon S K, Tai C C
Department of Orthopaedic Surgery, University Malaya Medical Centre, 50603 Kuala Lumpur, Malaysia.
Med J Malaysia. 2008 Jun;63(2):100-3.
An anaesthetist-led outpatient pre-operative assessment (OPA) clinic was introduced in our unit in an effort to improve patient care and cost-effectiveness. To assess the efficiency of the clinic, 112 patients who attended the OPA clinic (attendance rate 98%) during the first year were assessed prospectively and compared with 118 patients who did not undergo OPA the year before. There were fewer cancellations among those who attended the OPA clinic (13.6% compared to 3.6%), and the hospital stay was shortened from an average of 10.7 days to 7.0 days. This has resulted in more efficient utilization of operating theatre, reduced hospital costs and improved patient satisfaction. More extensive use of the pre-admission clinic is recommended and should be explored in other clinical settings.
为了改善患者护理并提高成本效益，我们科室引入了由麻醉师主导的门诊术前评估（OPA）诊所。为评估该诊所的效率，对第一年参加OPA诊所的112名患者（出勤率98%）进行了前瞻性评估，并与前一年未接受OPA的118名患者进行了比较。参加OPA诊所的患者取消手术的情况较少（分别为13.6%和3.6%），住院时间从平均10.7天缩短至7.0天。这提高了手术室的使用效率，降低了医院成本，提高了患者满意度。建议更广泛地使用入院前诊所，并应在其他临床环境中进行探索。
