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Article: Implementation and evaluation of guidelines for preoperative testing in a tertiary hospital

TitleImplementation and evaluation of guidelines for preoperative testing in a tertiary hospital
Authors
Issue Date2002
PublisherAustralian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.au
Citation
Anaesthesia and Intensive Care, 2002, v. 30 n. 3, p. 326-330 How to Cite?
AbstractThe aim of this study was to determine the extent of unnecessary investigation performed as part of the preoperative preparation of elective surgical patients in a teaching hospital and to audit the effect of guidelines and education designed to reduce unnecessary investigation. Guidelines were developed for preoperative anaesthetic investigation for elective surgical procedures in patients over one year of age according to internationally accepted criteria, with some adjustment for local differences in patient morbidity. Forrms outlining these criteria were placed in all operating theatres and anaesthetists were asked to determine whether tests performed were indicated or not, according to these criteria, over a two-week period, in each patient undergoing elective surgery. Tests indicated for surgical reasons were excluded. These same guidelines were then issued to all surgical departments along with explanatory lectures. The audit was repeated six months later and results compared. The incidence of over-investigation decreased from 13.8% to 11.6% (P = 0.03) without a significant increase in under-investigation (0.7 v 1.0%; P = 0.2). This study highlights the incidence of unwarranted screening tests in patients presenting for elective surgery and the role of protocols and ongoing education in reducing this incidence.
Persistent Identifierhttp://hdl.handle.net/10722/145525
ISSN
2015 Impact Factor: 1.283
2015 SCImago Journal Rankings: 0.488
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorGreer, AEen_HK
dc.contributor.authorIrwin, MGen_HK
dc.date.accessioned2012-02-28T01:53:14Z-
dc.date.available2012-02-28T01:53:14Z-
dc.date.issued2002en_HK
dc.identifier.citationAnaesthesia and Intensive Care, 2002, v. 30 n. 3, p. 326-330en_HK
dc.identifier.issn0310-057Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/145525-
dc.description.abstractThe aim of this study was to determine the extent of unnecessary investigation performed as part of the preoperative preparation of elective surgical patients in a teaching hospital and to audit the effect of guidelines and education designed to reduce unnecessary investigation. Guidelines were developed for preoperative anaesthetic investigation for elective surgical procedures in patients over one year of age according to internationally accepted criteria, with some adjustment for local differences in patient morbidity. Forrms outlining these criteria were placed in all operating theatres and anaesthetists were asked to determine whether tests performed were indicated or not, according to these criteria, over a two-week period, in each patient undergoing elective surgery. Tests indicated for surgical reasons were excluded. These same guidelines were then issued to all surgical departments along with explanatory lectures. The audit was repeated six months later and results compared. The incidence of over-investigation decreased from 13.8% to 11.6% (P = 0.03) without a significant increase in under-investigation (0.7 v 1.0%; P = 0.2). This study highlights the incidence of unwarranted screening tests in patients presenting for elective surgery and the role of protocols and ongoing education in reducing this incidence.en_HK
dc.languageengen_US
dc.publisherAustralian Society of Anaesthetists. The Journal's web site is located at http://www.aaic.net.auen_HK
dc.relation.ispartofAnaesthesia and Intensive Careen_HK
dc.subject.meshAnesthesia - methods - standardsen_HK
dc.subject.meshDiagnostic Tests, Routine - standards - utilizationen_HK
dc.subject.meshGuideline Adherenceen_HK
dc.subject.meshHealth Plan Implementationen_HK
dc.subject.meshSurgical Procedures, Elective - standards - utilizationen_HK
dc.titleImplementation and evaluation of guidelines for preoperative testing in a tertiary hospitalen_HK
dc.typeArticleen_HK
dc.identifier.emailGreer, AE: aegreer@hkucc.hku.hken_HK
dc.identifier.emailIrwin, MG: mgirwin@hkucc.hku.hk-
dc.identifier.authorityIrwin, MG=rp00390en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid12075640en_HK
dc.identifier.scopuseid_2-s2.0-0035986128en_HK
dc.identifier.hkuros80861en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0035986128&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume30en_HK
dc.identifier.issue3en_HK
dc.identifier.spage326en_HK
dc.identifier.epage330en_HK
dc.identifier.isiWOS:000176070400010-
dc.publisher.placeAustraliaen_HK

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