EFFECTS OF AN OPTIMIZED PREOPERATIVE SAFETY VERIFICATION METHOD ON LOCAL ANESTHESIA SURGERY IN A DAY SURGERY CENTER

Ping Tang^*, Shuang Li, Qing Zhao, Hong Chen

Department of Operating Room, Beijing Shijitan Hospital, Beijing 100038, China

Introduction: To compare the effects of an optimized preoperative safety verification method and a routine method on local anesthesia surgery in a day surgery center.

Materials and methods: Cases that will undergo local anesthesia surgery in the day surgery center of Beijing Shijitan Hospital Affiliated to Capital Medical University were included. Among them, there were 122 cases using the optimized safety verification method (optimized group) and 122 cases using the general safety verification method (general group). The length of stay (LOS), postoperative complications, delayed discharge, unplanned second surgery, mortality, and patient's satisfaction with surgery and hospital services between the two groups were assessed.

Results: The LOS for local anesthesia surgery is lower in the optimized group (21.4 ± 0.8 h) than the general group (28.7 ± 2.1 h), with statistical significance (P < 0.001); whereas operation time presented no difference. In the optimized group, 31 patients had adverse reactions, with an incidence of 25.41%, and in general group, 47 patients had adverse reactions, with an incidence of 38.52%. The postoperative complication rate is lower in optimized group than general group (χ2 = 4.824, P = 0.028). The delayed discharge rate and unplanned second surgery rate in two groups were compared, and optimized group had a certain elevation relative to general group but presented no difference (P > 0.05). There were death cases in both groups. The patients' satisfaction with surgery and hospital services in the optimized group (98.36%) presented elevation relative to general group (89.34%), with statistical significance (P < 0.05).

Conclusion: Optimizing the preoperative safety verification process can significantly elevate the safety of local anesthesia surgery in the day surgery center, reduce LOS, and improve patients' satisfaction.