Department of Anesthesiology, Fletcher Allen Healthcare, University of Vermont College of Medicine, Burlington, Vermont, USA.
Curr Opin Anaesthesiol. 2010 Apr;23(2):167-72. doi: 10.1097/ACO.0b013e328336f4b9.
The ever-increasing demand for productivity has forced anesthesiology departments to implement a safe, efficient, and structured approach to the preoperative evaluation of surgical patients. The goal of the present article is to discuss the evolution, benefits, and the future of preoperative clinics including a telephone-based system.
Outpatient preoperative evaluation clinics are common, but the optimal model is unknown and may depend on a hospital's characteristics such as the types of specialty care provided, geographic and socioeconomic differences of the population served by the hospital, the expectations of patients, and whether the facility is private versus academic practice where house staff education is necessary. The advantages of a telephone-based screening and assessment system include that patients need not make a separate visit to the hospital that typically would require taking time off from work.
It is difficult to compare the efficacy of different preoperative evaluation systems with regard to properly educating the patient, minimizing complications, and maximizing surgical suite functioning. Several authors have pointed out that quality improvement of the preoperative clinic should be guided by obtaining patient feedback.
对生产力的日益增长的需求迫使麻醉科对手术患者实施安全、高效和结构化的术前评估方法。本文的目的是讨论术前门诊，包括基于电话的系统的演变、益处和未来。
门诊术前评估诊所很常见，但最佳模式尚不清楚，可能取决于医院的特点，如提供的专业护理类型、医院服务人群的地理和社会经济差异、患者的期望，以及该设施是私立的还是需要住院医师教育的学术实践。基于电话的筛查和评估系统的优点包括患者无需单独前往医院就诊，通常需要从工作中抽出时间。
很难比较不同的术前评估系统在教育患者、最大限度地减少并发症和最大限度地提高手术间功能方面的效果。几位作者指出，术前诊所的质量改进应该以获得患者反馈为指导。
