Features  |   October 2019
Putting Patients First: What Does It Really Mean for Perioperative Care?
Author Affiliations
  • Girish P. Joshi, M.B.B.S., M.D., FFARCSI
    Committee on Anesthesia Care Team
    Educational Track Subcommittee on Ambulatory Anesthesia
Article Information
Pain Medicine / Technology / Equipment / Monitoring / Quality Improvement / Features
Features   |   October 2019
Putting Patients First: What Does It Really Mean for Perioperative Care?
ASA Monitor 10 2019, Vol.83, 12-13.
ASA Monitor 10 2019, Vol.83, 12-13.
In recent years, there has been an increased focus on measuring and rewarding patients’ experience of their health care. Those receiving person-centered care are more satisfied. Overall satisfaction with care is positively associated with improved clinical quality measures, including the process of care (i.e., clinical adherence to treatment guidelines) and clinical outcomes (e.g., readmission rate).1  Also, clinical quality measures that are visible and tangible for patients are strongly associated with patient experience. Of note, the quality indicators for perioperative care – such as appropriate preoperative continuation of beta-blockers, administration of the right antibiotic at the right time, removal of urinary catheters on the first or second day after surgery, appropriate venous thromboembolism prophylaxis, and discontinuation of preventive antibiotics at the right time, although important for improved outcomes – do not directly address patients’ priorities.
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