ABSTRACT
WHAT OTHER GUIDELINES ARE AVAILABLE ON THIS TOPIC: Since the publication of the SAMBA Consensus Statement for perioperative blood glucose management in the ambulatory setting in 2010, several recent guidelines have been issued by the American Diabetes Association (ADA), the American Association of Clinical Endocrinologists (AACE), the Endocrine Society, the Centre for Perioperative Care (CPOC), and the Association of Anaesthetists of Great Britain and Ireland (AAGBI) on DM care in hospitalized patients; however, none are specific to ambulatory surgery. HOW DOES THIS GUIDELINE DIFFER FROM THE PREVIOUS GUIDELINES: Previously posed clinical questions that were outdated were revised to reflect current clinical practice. Additional questions were developed relating to the perioperative management of patients with DM to include the newer therapeutic interventions.
ABSTRACT
With today's technological advances in outpatient surgery, anesthetic technique does not differ significantly between inpatient and outpatient settings. It is important to decide which setting is most appropriate for the patient based on the surgeon's ability, the patient's comorbidities, the facility resources, and the staff who will provide care for the patient. Matching all of the above can lead to good outcomes, less complications, and a good patient experience.
Subject(s)
Ambulatory Care/standards , Ambulatory Surgical Procedures/standards , Anesthesia/standards , Otorhinolaryngologic Surgical Procedures/standards , Ambulatory Care/methods , Ambulatory Surgical Procedures/adverse effects , Comorbidity , Humans , Otorhinolaryngologic Surgical Procedures/adverse effects , Patient Safety , Patient Selection , Practice Guidelines as Topic , Quality Improvement , Risk FactorsABSTRACT
Health care professionals see measurement through their own eyes and biases. This article makes the patient central to what is measured. Patient-reported experience measures and patient-reported outcome measures are of the utmost importance. In addition, as clinicians continue to evolve how they measure what really matters, they need to be mindful of the time taken from direct patient care to achieve these activities. In addition, and most important, clinicians must ensure that all measures are designed to ensure that population health is improved, that patient experience and outcomes are enhanced, and that the cost of care is reduced.
