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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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Telephone and Verbal Reports in healthcare settings are two communication methods for conveying therapeutic instructions from healthcare providers to nurses or other healthcare staff.
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Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
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Postoperative Physician Phone Calls as a Method to Decrease Urgent Care and Emergency Department Returns After

Roxanne L Massoumi1, Nikhil Crain1, Catherine Zhu1

  • 1Southern California Kaiser Permanente Medical Group, Woodland Hills, CA, USA.

The American Surgeon
|October 26, 2020
PubMed
Summary
This summary is machine-generated.

Physician phone calls after surgery did not reduce unplanned urgent care or emergency department visits. Many patient returns occurred before the calls were made, suggesting earlier intervention is needed.

Keywords:
complications after outpatient surgeryoutpatient surgerypostoperative physician phone-call

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Area of Science:

  • Ambulatory Surgery
  • Patient Outcomes
  • Healthcare Management

Background:

  • Unplanned returns to urgent care (UC) or emergency departments (ED) after ambulatory surgery create significant burdens.
  • Postoperative care strategies aim to minimize these readmissions and improve patient recovery.

Purpose of the Study:

  • To evaluate the effectiveness of physician postoperative phone calls in reducing avoidable UC/ED returns within one week after anorectal (AR), laparoscopic cholecystectomy (LC), inguinal hernia repair (IHR), and umbilical hernia repair (UHR).

Main Methods:

  • Retrospective analysis of UC/ED return rates from 1/2011 to 12/2015 (pre-intervention).
  • Prospective implementation of physician phone calls to patients between postoperative days (PODs) 1-4 from 10/2017 to 06/2019 (post-intervention).
  • Comparison of return rates between pre- and post-call cohorts using chi-squared analysis (P < .05 significance).

Main Results:

  • A total of 276 patients received postoperative calls, primarily on PODs 1-3.
  • No statistically significant difference in UC/ED return rates was observed between the pre- and post-call groups.
  • A notable proportion of returns occurred before the scheduled postoperative phone call, particularly for AR (100%), LC (50%), IHR (66.7%), and UHR (50%) procedures.

Conclusions:

  • Physician-initiated postoperative phone calls did not significantly decrease unplanned urgent care or emergency department returns in the studied ambulatory surgery procedures.
  • The timing of interventions is critical, as many returns happened prior to the calls being placed.
  • Future research should focus on implementing earlier postoperative contact strategies to potentially mitigate avoidable patient returns.