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Effectiveness outcomes of preadmission testing for presurgical patients Home, Elfriede


A prospective control study comparing elective surgical patients who had some or all of their presurgical testing done before admission with those who were tested after admission, was done at a 300 bed teaching and referral hospital in Vancouver, British Columbia. The intent of the study was to determine whether or not a program of preadmission testing (PAT) resulted in fewer inappropriate admissions and fewer delayed, postponed or cancelled surgical procedures. In addition, the amount of repeated testing was compared in the two groups. A matched subsample of 62 pairs from an overall sample of 90 PAT and 277 nonPAT patients admitted during an eight week period, was examined. Some interviews with surgeons, anesthetists, head nurses and significant others, also were carried out. It was found that preadmission testing did not significantly effect surgical workflow nor result in fewer inappropriate admissions. Preadmission tested patients, on the other hand, were far more likely to have tests repeated and had more venipunctures than patients who were tested after admission.

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