Authors
Shapiro, Fred E.Punwani, Nathan
Rosenberg, Noah M.
Valedon, Arnaldo
Twersky, Rebecca
Urman, Richard D.
Faculty Advisor
Fred Shapiro (Harvard Medical School) and Frank Domino (UMMS Department of Family Medicine and Community Health)UMass Chan Affiliations
Department of Family Medicine and Community HealthSenior Scholars Program
School of Medicine
Document Type
Journal ArticlePublication Date
2014-08-01Keywords
AccreditationAmbulatory Care
*Ambulatory Surgical Procedures
Anesthesia
Certification
Humans
Patient Safety
Patient Selection
Quality Improvement
Quality Indicators, Health Care
Risk Assessment
Risk Factors
Treatment Outcome
Anesthesia and Analgesia
Anesthesiology
Metadata
Show full item recordAbstract
The increasing volume of office-based medical and surgical procedures has fostered the emergence of office-based anesthesia (OBA), a subspecialty within ambulatory anesthesia. The growth of OBA has been facilitated by numerous trends, including innovations in medical and surgical procedures and anesthetic drugs, as well as improved provider reimbursement and greater convenience for patients. There is a lack of randomized controlled trials to determine how office-based procedures and anesthesia affect patient morbidity and mortality. As a result, studies on this topic are retrospective in nature. Some of the early literature broaches concerns about the safety of office-based procedures and anesthesia. However, more recent data have shown that care in ambulatory settings is comparable to hospitals and ambulatory surgery centers, especially when offices are accredited and their proceduralists are board-certified. Office-based suites can continue to enhance the quality of care that they deliver to patients by engaging in proper procedure and patient selection, provider credentialing, facility accreditation, and incorporating patient safety checklists and professional society guidelines into practice. These strategies aiming at patient morbidity and mortality in the office setting will be increasingly important as more states, and possibly the federal government, exercise regulatory authority over the ambulatory setting. We explore these trends, their implications for patient safety, strategies for minimizing patient complications and mortality in OBA, and future developments that could impact the field.Source
Anesth Analg. 2014 Aug;119(2):276-85. doi: 10.1213/ANE.0000000000000313. Link to article on publisher's siteDOI
10.1213/ANE.0000000000000313Permanent Link to this Item
http://hdl.handle.net/20.500.14038/49267PubMed ID
25046785Notes
Noah Rosenberg participated in this study as a medical student as part of the Senior Scholars research program at the University of Massachusetts Medical School.
Related Resources
Link to Article in PubMedae974a485f413a2113503eed53cd6c53
10.1213/ANE.0000000000000313