Implementation of a Preoperative Anemia Clinic Utilizing a Minimal Staffing Model.
Journal
A&A practice
ISSN: 2575-3126
Titre abrégé: A A Pract
Pays: United States
ID NLM: 101714112
Informations de publication
Date de publication:
01 Feb 2020
01 Feb 2020
Historique:
pubmed:
27
11
2019
medline:
25
9
2020
entrez:
27
11
2019
Statut:
ppublish
Résumé
We present a process map for the implementation of a program to treat preoperative anemia utilizing 1 existing anesthesiologist in the preoperative evaluation clinic. In the first 7 months postimplementation, 342 patients were screened for anemia, 166 were diagnosed, and 107 were treated. The mean increase in hemoglobin in treated patients was ~2 g/dL (range 0-4.9 g/dL). Two patients' surgeries were delayed in favor of treatment and 3 surgical patients, who had received 2 complete iron infusions, received an intraoperative transfusion. The total revenue generated for the institution was enough to subsidize the cost of an additional anesthesiologist.
Identifiants
pubmed: 31770131
doi: 10.1213/XAA.0000000000001131
pii: 02054229-202002010-00007
doi:
Substances chimiques
Iron
E1UOL152H7
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
90-94Références
Edwards AF, Sweitzer B. Preoperative process quality improvement: value is in the eye of the beholder. Anesth Analg. 2017;124:1762–1764.
Ellermann I, Bueckmann A, Eveslage M, et al. Treating anemia in the preanesthesia assessment clinic: results of a retrospective evaluation. Anesth Analg. 2018;127:1202–1210.
Goodnough LT, Shander A, Spivak JL, et al. Detection, evaluation, and management of anemia in the elective surgical patient. Anesth Analg. 2005;101:1858–1861.
Meybohm P, Froessler B, Goodnough LT, et al. “Simplified international recommendations for the implementation of patient blood management” (SIR4PBM). Perioper Med (Lond). 2017;6:5.
Guinn NR, Guercio JR, Hopkins TJ, et al. Duke Perioperative Enhancement Team (POET). How do we develop and implement a preoperative anemia clinic designed to improve perioperative outcomes and reduce cost? Transfusion. 2016;56:297–303.
Nutritional Anaemias. Report of a WHO Scientific Group. 1968;405:World Health Organ Tech Rep Ser. 5–37.
Available from: https://www.glassdoor.com/Salaries/new-york-city-anesthesiologist-salary-SRCH_IL.0,13_IM615_KO14,30.htm.Accessed July 16, 2019.