Evidence Based Practice and Quality Assurance
Introduction: Pre-operative assessment, allowing exchange of essential medical information between patient and anesthesiologist, is the best guarantee for not only a safe anesthesia procedure, but also for a high patient satisfaction. Since recently, we introduced an electronic standard questionnaire, available for all patients, as guide to our pre-operative assessments. In the present paper, we surveyed a one-week period, for all pre-operative assessments for all elective procedures in our hospital.
Materials and Methods: We prospectively surveyed all pre-operative data of all patients scheduled for week 22-2004. A resident, not involved in daily anesthesia care, collected all data from the questionnaire, from the preoperative assessment and from the medical record of the patient. An important issue was to analyse the role of the standard “yes-no” questionnaire in the whole pre-operative assessment process.
Results: A total of 425 patients were scheduled for an elective surgical procedure in week 22. 134 pts were admitted to hospital the day before surgery. All 134 pts underwent pre-operative assessment on the day before surgery. For these pts, the use of a standard questionnaire did add very little relevant information, as well for the patient as for the anesthesiologist, as most of the information was found in the medical record of the patient.
For the 291 pts admitted on the day of surgery (day clinic or short stay), the standard questionnaire revealed to be a very usefull intake for preoperative screening. Especially for not-ASA I (52) pts, the questionnaire provided essential information (in 47 of 52 pts), as well for the patient (e.g. instructions for discontinuation of some specific medication) as for the anesthesiologist (e.g. latex allergy, …).
Conclusion: A first survey of the quality of our pre-operative assessment supported the use of electronic standard questionnaires, especially for pts admitted on the day of surgery.… Patient satisfaction with anesthesia seems indeed largely dependent on the information given by the anesthesiologist before surgery.