I am looking at ways to reduce the number of DNAs at pre op clinic for day case patients and want to research whether telephone pre op assessment works. However, I struggling with literature search.
Would you consider a blended appraoch? That is combining IT platform technology along with the skills of a case manager. I am aware that some renal transplant programmes in the US have trialled secure online portals specifically for patient assessment.
This requires putting your preop questionnaire online and then linking it to the patient record-such that if it is not filled out in a preset time frame (a pop up box appears), this precipitates a phone call from the case manager. The preop questionnaires can then be screened wrt whether further actions (investigations are required).
AORN J. 1989 Nov;50(5):1022, 1024-9, 1031-5.
Preoperative nursing assessment. A research study.
Takahashi JJ1, Bever SC
University of Amsterdam, Academic Medical Centre, Department of Anaesthesiology, Leiden, The Netherlands.European Journal of Anaesthesiology (Eur J Anaesthesiol)
Publisher: European Academy of Anaesthesiology; European Society of AnaesthesiologistsISSN: 1365-2346
European Journal of Anaesthesiology (Impact Factor: 2.79). 05/2008; 25(4):280-6. DOI: 10.1017/S0265021507003122Source: PubMed
Hi Sandie, I actually published a systematic review on nurse-led preadmissions services some years ago and we reported data on telephone pre-assessment, though if I recall correctly, we didn't have enough data to meta-analyse. We've since updated the review but the conclusions haven't changed and I can't share it as it's in peer review right now. But I've attached the 2010 version.
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