Singer Robert, Keyes Geoffrey R, Nahai Foad
The University of California, San Diego (UCSD), San Diego CA.
Division of Plastic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Aesthet Surg J Open Forum. 2019 Apr 2;1(2):ojz008. doi: 10.1093/asjof/ojz008. eCollection 2019 Jun.
From its origin cosmetic surgery was performed in facilities which were neither certified nor regulated. Recognizing that there was no formal oversight of facilities, a group of plastic surgeons saw the need to develop an accreditation program. This eventually evolved into the American Association for Accreditation of Ambulatory Plastic Surgery Facilities. The organization was started to implement and maintain a voluntary inspection accreditation program for qualifying surgical facilities. Its focus was to educate plastic surgeons on safety and became recognized as the gold standard for accreditation. Seeing the need for similar standards for all surgeons, it morphed into the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF). Comprehending that accreditation was in everyone's best interest, AAAASF developed educational formats for plastic surgeons, testified at the US Congress suggesting potential ways that oversight of facilities could improve patient safety, functioned as a resource to numerous states in developing guidelines for oversight of facilities, continued to update its standards, and extended its accreditation program internationally. Recognizing the value of accreditation, proven by AAAAASF's extensive database from its Internet-Based Quality Assurance Program, the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS) mandated that its members operate only in accredited or licensed facilities. Numerous studies documenting the safety of accredited plastic surgical facilities from AAAASF's extensive quality assurance and peer-review reporting program are cited. AAAASF played a significant role and will continue to do that in producing better, safer environments for outpatient surgical procedures.
从起源来看，整容手术是在既未获认证也不受监管的机构中进行的。一群整形外科医生认识到对这些机构缺乏正式监管，便觉得有必要制定一项认证计划。这最终演变成了美国门诊整形手术设施认证协会。该组织成立的目的是为符合条件的外科手术设施实施并维持一项自愿检查认证计划。其重点是对整形外科医生进行安全方面的教育，并成为公认的认证黄金标准。鉴于所有外科医生都需要类似标准，它演变成了美国门诊手术设施认证协会（AAAASF）。AAAASF深知认证符合每个人的最大利益，于是为整形外科医生开发了教育形式，在美国国会作证，提出改善设施监管以提高患者安全的潜在方法，在许多州制定设施监管指南时充当资源，不断更新其标准，并将其认证计划扩展到国际范围。美国美容整形外科协会（ASAPS）和美国整形外科医生协会（ASPS）认识到认证的价值，这已由AAAASF基于互联网的质量保证计划所积累的大量数据库证明，因此要求其成员仅在获得认证或持牌的机构中开展业务。文中引用了大量研究，这些研究记录了AAAASF广泛的质量保证和同行评审报告计划所涉及的认证整形手术设施的安全性。AAAASF在为门诊手术营造更好、更安全的环境方面发挥了重要作用，并将继续发挥这一作用。
