The preoperative period is the time during which critical patient data are gathered, processed, and disseminated. This information is used to plan for and schedule personnel, equipment, and a myriad of subtasks to ensure a smooth day in the OR. The level and the thoroughness of planning determine the efficient utilization of personnel and facilities, which impacts actual costs and, equally important, “frustration costs” to patients and staff. A proper preoperative process contributes significantly to patient safety, decreases institutional costs, and ultimately determines a large portion of the cost of national surgical healthcare. Preoperative patient care is an area of medical specialization that lends itself very readily to the application of the technologic tools of information management. A wise hospital administration will ensure that access to and use of the preoperative informatics system is not restricted to the anesthesiologists but is made available to surgeons, schedulers, equipment technicians, preoperative and postoperative nurses, and supply specialists, so that it provides a finely crafted tool for communication between all of these personnel. In practice, the method of preoperative patient management varies greatly from one institution to another and is determined by budgets, space, available personnel, and historic factors. The four most prevalent preoperative patient evaluation models utilized today are discussed in this chapter.
KeywordsPreoperative Evaluation Health History Structure Query Language Preoperative Clinic Preoperative Assessment Clinic
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