title: Use of a modified Postanesthesia Recovery Score in phase II perianesthesia period of ambulatory surgery patients.
abstract: Use of discharge criteria in the ambulatory surgery setting has been the topic of many research studies and reviews. This article provides a discussion of a research utilization project regarding the use of a modified Postanesthesia Recovery Score for Ambulatory Patients (PARSAP) in Phase II recovery of a perianesthesia unit. The impetus for this project was the closure of a hospital's only inpatient ward, resulting in all surgery performed on an outpatient basis. Based on community standards and a review of literature, this project evaluated the use of the modified PARSAP on ambulatory surgery patients. The intent of the project was to improve the flow of patients through the recovery process in an effort to contain or reduce costs while still maintaining high-quality patient care standards. Results of the project showed a decreased inpatient length of stay without any increase in reports of postoperative complications. The favorable outcomes of the use of this scoring system have led to its implementation on a permanent basis. This is a U.S. government work. There are no restrictions on its use.
authors: USN Hospital Sigonella, Sicily, Italy.
authors: L M
authors: LM
authors: Saar
mesh_terms: D000556:Ambulatory Surgical Procedures / Q000191:economics / Q000451:nursing* / Q000592:standards; D003363:Cost Control; D006302:Health Services Research; D006754:Hospital Restructuring; D006772:Hospitals, Military; D006801:Humans; D007902:Length of Stay / Q000191:economics / Q000706:statistics & numerical data; D009326:Naval Medicine; D009730:Nursing Assessment / Q000191:economics / Q000379:methods* / Q000592:standards; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care; D010351:Patient Discharge; D016528:Postanesthesia Nursing / Q000191:economics / Q000379:methods* / Q000592:standards; D011184:Postoperative Period; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D011997:Recovery Room / Q000458:organization & administration; D020127:Recovery of Function; D013022:South Carolina; D013997:Time Factors