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Evidence-Based Patient Safety Advisory: Patient Selection and Procedures in Ambulatory Surgery

Haeck, Phillip C. M.D.; Swanson, Jennifer A. B.S., M.Ed.; Iverson, Ronald E. M.D.; Schechter, Loren S. M.D.; Singer, Robert M.D.; Basu, C Bob M.D., M.P.H.; Damitz, Lynn A. M.D.; Glasberg, Scot Bradley M.D.; Glassman, Lawrence S. M.D.; McGuire, Michael F. M.D.; the ASPS Patient Safety Committee

Plastic & Reconstructive Surgery: October 2009 - Volume 124 - Issue 4S - pp 6S-27S
doi: 10.1097/PRS.0b013e3181b8e880
Patient Safety: Outcomes Article

Summary: Despite the many benefits of ambulatory surgery, there remain inherent risks associated with any surgical care environment that have the potential to jeopardize patient safety. This practice advisory provides an overview of the preoperative steps that should be completed to ensure appropriate patient selection for ambulatory surgery settings. In conjunction, this advisory identifies several physiologic stresses commonly associated with surgical procedures, in addition to potential postoperative recovery problems, and provides recommendations for how best to minimize these complications.

Arlington Heights, Ill.

From the American Society of Plastic Surgeons’ Patient Safety Committee.

Received for publication March 3, 2009; accepted May 27, 2009.

Approved by the ASPS Executive Committee, January 10, 2009.

The members of the ASPS Patient Safety Committee are listed at the end of this article.

Disclosure: The authors have no financial interests related to this article.

Phillip C. Haeck, M.D., 901 Boren Avenue, Suite 1650, Seattle, Wash. 98104-3508,

©2009American Society of Plastic Surgeons