International comparison of preoperative testing and assessment protocols and best practices to reduce surgical care costs: A systematic literature review

Bita A. Kash, Kayla M. Cline, Stephen Timmons, Rahil Roopani, Thomas R. Miller

Research output: Contribution to journalReview article

3 Scopus citations

Abstract

Purpose-Health care institutions in many Western countries have developed preoperative testing and assessment guidelines to improve surgical outcomes and reduce cost of surgical care. The aims of this chapter are to (1) summarize the literature on the effect of preoperative testing on clinical outcomes, efficiency, and cost; and (2) to compare preoperative testing guidelines developed in the United States, the United Kingdom, and Canada. Design/methodology/approach-We reviewed the literature from 1975 to 2014 for studies and preoperative testing guidelines. Findings-We identified 29 empirical studies and 8 country-specific guidelines for review. Most studies indicate that preoperative testing is overused and comes at a high cost. Guidelines are tied to payment only in one country studied. This is the most recent review of the literature on preoperative testing and assessment with a focus on quality of care, efficiency, and cost outcomes. In addition, this chapter provides an international comparison of preoperative guidelines.

Original languageEnglish (US)
Pages (from-to)161-194
Number of pages34
JournalAdvances in Health Care Management
Volume17
DOIs
StatePublished - Jan 1 2015

Keywords

  • clinical outcomes
  • cost
  • operating room efficiency
  • perioperative surgical home
  • preoperative guidelines
  • Preoperative testing

ASJC Scopus subject areas

  • Health Policy

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