Exploration of a quality improvement process to standardised preoperative tests for a surgical procedure to reduce waste.

ABSTRACT:

Background

Preoperative tests are done to determine a patient's fitness for anaesthesia and surgery.

Local problem

Although routine tests before surgery in the absence of specific clinical indications are not recommended, we observed high volumes of routine preoperative tests were performed in our institution. We describe a process to implement a standardised preoperative investigational approach to reduce unnecessary testing before surgeries.

Methods

A series of six Plan-Do-Study-Act (PDSA) cycles was conducted for root cause analysis and process mapping, development of standardised tool (GRID), collection of baseline data, education and feedback, pilot testing and implementation and uptake of GRID.Root cause analysis revealed a lack of awareness of guidelines and a

SUBMITTER: Shahid R 

PROVIDER: S-EPMC8477314 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature