TY - JOUR
T1 - International comparison of preoperative testing and assessment protocols and best practices to reduce surgical care costs
T2 - A systematic literature review
AU - Kash, Bita A.
AU - Cline, Kayla M.
AU - Timmons, Stephen
AU - Roopani, Rahil
AU - Miller, Thomas R.
PY - 2015/1/1
Y1 - 2015/1/1
N2 - 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.
AB - 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.
KW - clinical outcomes
KW - cost
KW - operating room efficiency
KW - perioperative surgical home
KW - preoperative guidelines
KW - Preoperative testing
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U2 - 10.1108/S1474-823120140000017010
DO - 10.1108/S1474-823120140000017010
M3 - Review article
C2 - 25985512
AN - SCOPUS:84923853260
VL - 17
SP - 161
EP - 194
JO - Advances in Health Care Management
JF - Advances in Health Care Management
SN - 1474-8231
ER -