Development, Functioning, and Effectiveness of a Preoperative Risk Assessment Clinic.
Lee first described the concept of preoperative assessment testing (PAT) clinic in 1949. An efficiently run clinic is associated with increased cost-effectiveness by lowering preoperative admission time and thus reducing the length of stay and the associated costs. The setup of the PAT clinic should be based on the needs, culture, and resources of the institution. Various models for the setup of PAT clinic have been described, including the concept of a perioperative surgical home, which is a patient-centered model designed to improve health and the delivery of health care and to reduce the cost of care. Although there are several constraints in the development of PAT clinics, with increasing awareness about the usefulness of pre-operative risk assessments, growing bodies of literature, and evidence-based guidelines, these clinics are becoming a medical necessity for the improvement of perioperative care.
Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York, NY, USA.
Hassan
H
Tariq
Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York, NY, USA.
Rafeeq
R
Ahmed
Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York, NY, USA.
Salil
S
Kulkarni
Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York, NY, USA.
Sana
S
Hanif
Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York, NY, USA.
Omesh
O
Toolsie
Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York, NY, USA.
Hafsa
H
Abbas
Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York, NY, USA.
Sridhar
S
Chilimuri
PAT clinic; perioperative surgical home; preop clinic; preoperative risk assessment clinic