Reducing Preventable Surgical Cancellations: Improving the Preoperative Anesthesia Interview Process.

Journal Article (Journal Article)

PURPOSE:Thorough and accurate preoperative anesthesia interviews may help improve perioperative efficiency by reducing unnecessary preoperative testing and preventable surgical cancellations, both of which create financial burdens. Standardized anesthesia preoperative interview guidelines and online educational modules for registered nurses (RNs) conducting preoperative interviews may improve this process. DESIGN:Predesign and postdesign, retrospective chart review. METHODS:Online educational modules and standardized preoperative anesthesia interview guidelines were developed for RNs conducting preoperative interviews. A retrospective chart review compared preoperative anesthesia interview record completion rates, compliance with laboratory testing, and the total number of preventable surgical cancellations. FINDINGS:Documentation of preoperative anesthesia interview records increased, whereas unnecessary preoperative testing decreased, neither with statistical significance. Preventable cancellation rates decreased significantly from 34.3% to 20% (P < .5) contributing to a 3-month postimplementation cost savings of approximately $30,000. CONCLUSIONS:A standardized preoperative anesthesia interview guideline and online anesthesia educational modules for RNs conducting preoperative anesthesia interviews improved preoperative record completion rates, reduced unnecessary laboratory testing, and averted surgical cancellations.

Full Text

Duke Authors

Cited Authors

  • Leite, KA; Hobgood, T; Hill, B; Muckler, VC

Published Date

  • October 2019

Published In

Volume / Issue

  • 34 / 5

Start / End Page

  • 929 - 937

PubMed ID

  • 30894294

Electronic International Standard Serial Number (EISSN)

  • 1532-8473

International Standard Serial Number (ISSN)

  • 1089-9472

Digital Object Identifier (DOI)

  • 10.1016/j.jopan.2019.02.001


  • eng