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dc.contributor.advisorFred Shapiro (Harvard Medical School) and Frank Domino (UMMS Department of Family Medicine and Community Health)
dc.contributor.authorShapiro, Fred E.
dc.contributor.authorPunwani, Nathan
dc.contributor.authorRosenberg, Noah M.
dc.contributor.authorValedon, Arnaldo
dc.contributor.authorTwersky, Rebecca
dc.contributor.authorUrman, Richard D.
dc.date2022-08-11T08:10:55.000
dc.date.accessioned2022-08-23T17:24:47Z
dc.date.available2022-08-23T17:24:47Z
dc.date.issued2014-08-01
dc.date.submitted2016-03-28
dc.identifier.citationAnesth Analg. 2014 Aug;119(2):276-85. doi: 10.1213/ANE.0000000000000313. <a href="http://dx.doi.org/10.1213/ANE.0000000000000313">Link to article on publisher's site</a>
dc.identifier.issn0003-2999 (Linking)
dc.identifier.doi10.1213/ANE.0000000000000313
dc.identifier.pmid25046785
dc.identifier.urihttp://hdl.handle.net/20.500.14038/49267
dc.description<p>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.</p>
dc.description.abstractThe 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.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=25046785&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1213/ANE.0000000000000313
dc.subjectAccreditation
dc.subjectAmbulatory Care
dc.subject*Ambulatory Surgical Procedures
dc.subjectAnesthesia
dc.subjectCertification
dc.subjectHumans
dc.subjectPatient Safety
dc.subjectPatient Selection
dc.subjectQuality Improvement
dc.subjectQuality Indicators, Health Care
dc.subjectRisk Assessment
dc.subjectRisk Factors
dc.subjectTreatment Outcome
dc.subjectAnesthesia and Analgesia
dc.subjectAnesthesiology
dc.titleOffice-based anesthesia: safety and outcomes
dc.typeJournal Article
dc.source.journaltitleAnesthesia and analgesia
dc.source.volume119
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/ssp/210
dc.identifier.contextkey8390981
html.description.abstract<p>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.</p>
dc.identifier.submissionpathssp/210
dc.contributor.departmentDepartment of Family Medicine and Community Health
dc.contributor.departmentSenior Scholars Program
dc.contributor.departmentSchool of Medicine
dc.source.pages276-85


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