Why the study?
The ASA Physical Status Classification system has poor interrater agreement when using only definitions, and whether institutional-specific examples improve agreement between pre-anesthesia clinic and day-of-surgery evaluations was evaluated.
Does the implementation of institutional-specific and ASA-approved examples improve interrater agreement of ASA physical status classification between pre-anesthesia screening and day of surgery?
Population
Adult and pediatric patients evaluated at pre-anesthesia clinic and day of surgery
Comparison
Institutional-specific and ASA-approved examples vs ASA PS definitions alone
Design
Multi-step, multi-year quality improvement project
Authors
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Adding examples may improve ASA PS consistency between pre-assessment and surgery; leaves open impact on cancellations or outcomes in routine care.
Does the implementation of institutional-specific and ASA-approved examples improve interrater agreement of ASA physical status classification between pre-anesthesia screening and day of surgery?
Adding institutional-specific examples to ASA physical status definitions significantly improves interrater agreement between pre-anesthesia screening and day of surgery evaluations.
Abouleish et al. (2020) studied this question.
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