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At some point before surgery a health care provider conducts a preoperative assessment to verify that a person is fit and ready for the surgery. [ 1 ] [ 2 ] For surgeries in which a person receives either general or local anesthesia, this assessment may be done either by a doctor or a nurse trained to do the assessment. [ 2 ]
The operative report includes preoperative and postoperative diagnoses, patient condition after surgery, all medications used in association with the procedure, pertinent medical history (Hx), physical examination (PE), consent forms, surgeon′s orders, and identifies the anesthetist and anesthesia used.
The World Health Organization (WHO) published the WHO Surgical Safety Checklist in 2008 in order to increase the safety of patients undergoing surgery. [1] The checklist serves to remind the surgical team of important items to be performed before and after the surgical procedure in order to reduce adverse events such as surgical site infections or retained instruments. [1]
Strong for Surgery (S4S) is a public health campaign and quality improvement (QI) initiative developed and launched by the University of Washington in Washington State in 2012. [1] Strong for Surgery was developed by the Comparative Effectiveness Research Translation Network (CERTAIN) and informed by data from the Surgical Care and Outcomes ...
Admission notes document the reasons why a patient is being admitted for inpatient care to a hospital or other facility, the patient's baseline status, and the initial instructions for that patient's care.
Preoperative fasting is the practice of a surgical patient abstaining from eating or drinking ("nothing by mouth") for some time before having an operation.This is intended to prevent stomach contents from getting into the windpipe and lungs (known as a pulmonary aspiration) while the patient is under general anesthesia. [1]
An example of this is a recognition test, where patients are asked to determine, after surgery, which of a selection of words could be heard during the surgery. The following scenario is an example. Patients were exposed during anesthesia to a list of words containing the word "pension".
Surgery [a] is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissues (body fat, glands, scars ...