Evaluating pre-operative anesthesia screening tool and key patient care quality markers at HREI
What:
Paper Presentation | Présentation d'article
When:
4:15 PM, Saturday 2 Jun 2018
(3 minutes)
Where:
How:
Authors: Tiandra Ceyhan, Prima Moinul, Tin Enoch, Martin Calloti, Jenny Qian, Tania Ligori, Varun Chaudhary
Author Disclosure Block: T. Ceyhan: None. P. Moinul: None. T. Enoch: None. M. Calloti: None. J. Qian: None. T. Ligori: None. V. Chaudhary: Grant/research support; Name of Commercial Company(s); Novartis, Bayer, Allergan. Employment/honoraria/consulting fees; Name of Commercial Company(s); Novartis, Bayer. Membership on an advisory panel, standing committee or board of directors; Name of Commercial Company(s); Novartis, Bayer.
Abstract Body:
Purpose: To assess the degree of preoperative patient preparedness/optimization for cataract surgery using the Hamilton Regional Eye Institute (HREI) Cataract Screening Pre-procedural Questionnaire (CPSQ).
Study Design: Single-centre, prospective cohort study.
Methods: Ethics approval was obtained from the Hamilton Integrated Research Ethics Board. 151 adult patients undergoing elective cataract surgery at HREI were recruited with informed consent. CPSQ questionnaire screened patients for those at a higher risk of perioperative complications, who were then sent to the pre-operative clinic for consultation. All patients received a reminder phone call the night before surgery, to review preparedness for the day of surgery. Patient demographics and CPSQ survey responses were collected at the time of enrolment. A 5-item satisfaction survey was administered to assess patient satisfaction with the quality of pre-operative instructions provided. Outcomes (delays or cancellations secondary to a lack of patient preparedness, intraoperative systemic complications) and patient satisfaction were compared between patients who attended the anesthesia pre-operative clinic for consultation versus those who did not.
Results: In total, 151 patients completed the study. There were 87 females (57.6%). The mean age was 72.0 ± 10.5 years. There was a moderate level of anxiety preoperatively (5.17 ± 2.98 on a 1-10 scale). Prior to surgery, 129 patients (85.4%) received a phone call about their surgery. The majority of patients, 141 (94%), also received information about cataract surgery via a handout, 59.33% verbally (in combination with handouts) and 1.33% were unable to recall. 146 patients felt they were given adequate information regarding pre-operative medications to take (96.69%), eye drops (99.34%), preoperative fasting guidelines (98.68%), arrival time (99.34%), and instructions for accompaniment/drivers postoperatively (100%). Only 7.43% of patients needed a preoperative anesthesia consultation and all 151 patients (100%) were compliant with fasting guidelines. There were no cancellations or delays. Patient satisfaction with the information received regarding cataract surgery and anesthesia was 4.39 ± 0.88 and 3.80 ± 0.95 (on a 1-5 scale), respectively.
Conclusions: The CPSQ system is an effective tool that can be used to optimize patient care by increasing patient preparedness for cataract surgery and patient satisfaction with the perioperative experience.
Author Disclosure Block: T. Ceyhan: None. P. Moinul: None. T. Enoch: None. M. Calloti: None. J. Qian: None. T. Ligori: None. V. Chaudhary: Grant/research support; Name of Commercial Company(s); Novartis, Bayer, Allergan. Employment/honoraria/consulting fees; Name of Commercial Company(s); Novartis, Bayer. Membership on an advisory panel, standing committee or board of directors; Name of Commercial Company(s); Novartis, Bayer.
Abstract Body:
Purpose: To assess the degree of preoperative patient preparedness/optimization for cataract surgery using the Hamilton Regional Eye Institute (HREI) Cataract Screening Pre-procedural Questionnaire (CPSQ).
Study Design: Single-centre, prospective cohort study.
Methods: Ethics approval was obtained from the Hamilton Integrated Research Ethics Board. 151 adult patients undergoing elective cataract surgery at HREI were recruited with informed consent. CPSQ questionnaire screened patients for those at a higher risk of perioperative complications, who were then sent to the pre-operative clinic for consultation. All patients received a reminder phone call the night before surgery, to review preparedness for the day of surgery. Patient demographics and CPSQ survey responses were collected at the time of enrolment. A 5-item satisfaction survey was administered to assess patient satisfaction with the quality of pre-operative instructions provided. Outcomes (delays or cancellations secondary to a lack of patient preparedness, intraoperative systemic complications) and patient satisfaction were compared between patients who attended the anesthesia pre-operative clinic for consultation versus those who did not.
Results: In total, 151 patients completed the study. There were 87 females (57.6%). The mean age was 72.0 ± 10.5 years. There was a moderate level of anxiety preoperatively (5.17 ± 2.98 on a 1-10 scale). Prior to surgery, 129 patients (85.4%) received a phone call about their surgery. The majority of patients, 141 (94%), also received information about cataract surgery via a handout, 59.33% verbally (in combination with handouts) and 1.33% were unable to recall. 146 patients felt they were given adequate information regarding pre-operative medications to take (96.69%), eye drops (99.34%), preoperative fasting guidelines (98.68%), arrival time (99.34%), and instructions for accompaniment/drivers postoperatively (100%). Only 7.43% of patients needed a preoperative anesthesia consultation and all 151 patients (100%) were compliant with fasting guidelines. There were no cancellations or delays. Patient satisfaction with the information received regarding cataract surgery and anesthesia was 4.39 ± 0.88 and 3.80 ± 0.95 (on a 1-5 scale), respectively.
Conclusions: The CPSQ system is an effective tool that can be used to optimize patient care by increasing patient preparedness for cataract surgery and patient satisfaction with the perioperative experience.
