Patients Education And Orientation To Preanesthesia Evaluation Clinic

摘要

Cost-effective preoperative evaluation can be approached from a variety of methods, educational strategies, and use of data to modify clinical practice. This article describes the proposed organizational and clinical changes in the process of preoperative evaluations at the military hospital in Riyadh. It aims to draw the attention to the potential to educate the patient regarding anesthesia education and getting a face to face interview between the patient and anesthesiologist in a quiet environment of medical clinic. The information from the literature was translated into Arabic to handle patients. Introduction In the literature, many reports indicated the advantage of having pre-anesthesia clinics to reduce the cost and improve patient, surgeon, and anesthesiologist satisfaction. By reducing the rate of cancellation and reducing the cost of investigations and help patient' selection for day of surgery the services perform efficiently. The opportunity allows direct contact with the patient to give him/her educational materials [1]. A resent study in KSA showed that: Anesthesia and anesthesiologists are not well perceived by the patients. It is worse with those patients who are deprived from education or poor or those who come from undeveloped areas. An effort should be done to listen and talk to this special group so they could have better consent and sharing the choice of anesthesia techniques and risk managements [2,3,4]. Face to face interview in a quiet surrounding of a preanesthesia clinic would create professional bonding with the patient and his anesthesiologistRecent articles [4] showed the major titles which should be covered in such clinic including the item of patient consent and education. This includes: Definition of preoperative anesthesia clinic. The benefit of preoperative anesthesia clinic. Description of typical visit to the clinic. Introducing to the anesthesiologist, and the deferent types of anesthesia, anesthesia safety, the reasons for health inquiry and paperwork and documentation by the anesthesiologist during your visit, previous health and current medications and the physical examination and necessary tests and investigations and instruction concerning anesthesia precautions. The Arabic text explaining this information is published with pictorial demonstrations. The Preoperative Evaluation Preoperative evaluation clinic (PEC) aims at: Minimize expensive delays and cancellations on the “day-of-surgery”; Properly evaluate and optimize patient health status; Facilitate the planning of anesthesia and perioperative care Reduce patient anxiety through education. Obtain informed consent. Cost-effectiveness and good quality of patient care increase patient satisfaction and decreased costs. PEC is a positive investment for the future and value in hospital management and hospital quality enhancement. The PEC can become a recognized center for establishing a standard of efficient clinical services, decreased costs, and for increased patient/surgeon satisfaction.[1,6] The classical operational goals adopted for Stanford University Hospital's PEC [6] are summarized below: to improve the patient's perception of the preoperative evaluation experience by increasing personalized patient care, comfort, and convenience; to provide a centralized site for preoperative evaluation; to institute an anesthesia scheduling system and proper patient admission; to ensure the presence of an anesthesiologist on-site when patients are present; to ensure the availability of medical records and surgical notes at the time of the preoperative evaluation; to decrease logistical shuffling of patients to multiple hospital service areas; to integrate and coordinate services by means of on-site admitting/registration, insurance authorization, and on-site laboratory and EKG facilities; to improve education of patients and families about the elements of their surgical procedure and the proposed anesthesia, including postoperative pain contr