Title alternative:
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Het preoperatieve ‘papieren consult’: soms een prima alternatief
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Subject:
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DCN MP - Plasticity and memory N4i 1: Pathogenesis and modulation of inflammation NCEBP 3: Implementation Science ONCOL 4: Quality of Care NCEBP 4: Quality of hospital and integrated care NCEBP 7: Effective primary care and public health DCN MP - Plasticity and memory N4i 1: Pathogenesis and modulation of inflammation NCEBP 3: Implementation Science ONCOL 4: Quality of Care |
Organization:
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Anesthesiology IQ Healthcare |
Journal title:
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Nederlands Tijdschrift voor Geneeskunde
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Abstract:
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In the Netherlands, the majority of elective-surgery patients are evaluated by the anaesthesiologist at the preoperative assessment clinic. We believe that this visit can be omitted in selected patients as it has only minimal benefit, whereas its disadvantages can be substantial. Alternatively, the initial screening could be performed by the completion of a questionnaire via the telephone, via internet, by a nurse or by the surgeon. These data can then be evaluated by the anaesthesiologist; this is called the 'paper-based' preoperative evaluation. This method does require the conscientious cooperation between anaesthesiologists and surgeons; it should be clear which patients are eligible, what type of anaesthetic technique should be used, how the patient should be informed and how the informed consent is obtained. In our opinion, this paper-based evaluation combines safety and efficiency with patient-friendliness. It should be anchored in current guidelines to ensure quality.
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