Key result
Vigilant planning, standard operating procedures, and regular training are mandatory to secure safety and handle rare but serious emergencies in freestanding ambulatory surgery centers.
Why the study?
As ambulatory surgery increases in complexity and includes older and more fragile patients, vigilant planning and preparedness for adverse events and emergencies is needed to secure safety.
Vigilant planning, standard operating procedures, and regular training are mandatory to ensure patient safety during emergencies in freestanding ambulatory surgery centres.
Requires vigilant preparedness for emergencies in expanding ambulatory ERAS cases; leaves open optimal protocols for fragile patients.
PURPOSE OF REVIEW: Ambulatory surgery is increasing, more procedures as well as more complex procedures are transferred to ambulatory surgery. Patients of all ages including elderly and more fragile are nowadays scheduled for ambulatory surgery. Enhanced recovery after surgery (ERAS) protocols are now developed for further facilitating readily recovery, ambulation, and discharge. Thus, to secure safety, a vigilant planning and preparedness for adverse events and emergencies is mandatory. RECENT FINDINGS: Proper preoperative assessment, preparation/optimization and collaboration between anaesthetist and surgeon to plan for the optimal perioperative handling has become basic to facilitate well tolerated perioperative course. Standard operating procedures for rare emergencies must be in place. These SOPs should be trained and retrained on a regular basis to secure safety. Check lists and cognitive aids are tools to help improving safety. Audit and analysis of adverse outcomes and deviations is likewise of importance to continuously analyse and implement corrective activity plans whenever needed. SUMMARY: The present review will provide an oversight of aspects that needs to be acknowledged around planning handling of rare but serious emergencies to secure quality and safety of care in freestanding ambulatory settings.
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Karlsson et al. (2021) conducted a review in Ambulatory surgery emergencies. Standard operating procedures and emergency preparedness was evaluated. Vigilant planning, standard operating procedures, and regular training are mandatory to secure safety and handle rare but serious emergencies in freestanding ambulatory surgery centers.