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MINERVA ANESTESIOLOGICA

A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care


Official Journal of the Italian Society of Anesthesiology, Analgesia, Resuscitation and Intensive Care
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THE «MISSION» OF ANAESTHESIA AND RESUSCITATION UNITS  SMART 2001


Minerva Anestesiologica 2001 April;67(4):279-83

language: English

Quality in anesthesia

Myles P. S.

From the Depart­ment of Anaesthe­sia & ­Pain Man­age­ment, ­Alfred Hos­pi­tal and Depart­ments of Anaesthe­sia and Epi­dem­i­ol­o­gy & Pre­ven­tive Med­i­cine Monash Uni­ver­sity, Prah­ran, Vic­tor­ia, Aus­tra­lia


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Qual­ity of recov­ery ­after anes­the­sia and sur­gery is an impor­tant dimen­sion of the ­patient’s expe­ri­ence and may be relat­ed to the qual­ity of anes­the­sia ­care. Qual­ity of recov­ery is ­also relat­ed to ­patient sat­is­fac­tion. We ­have devel­oped and val­i­dat­ed a qual­ity of recov­ery (QoR) ­score. ­Adult ­patients under­go­ing elec­tive and emer­gen­cy sur­gery in a uni­ver­sity teach­ing hos­pi­tal are inter­viewed ­after sur­gery in ­order to iden­ti­fy ­adverse ­events, ­rate ­their lev­el of ­pain and sat­is­fac­tion, and meas­ure ­their QoR ­Score. We ­have col­lect­ed ­data on ­more ­than 10,000 ­patients. ­Patients recov­er­ing ­from day sur­gery ­have high­er QoR ­Scores ­than ­those recov­er­ing ­from ­minor sur­gery, and ­both ­have high­er ­scores ­than ­those recov­er­ing ­from ­major sur­gery. ­Patients ­with pre-exist­ing ill­ness or ­those who devel­op post­op­er­a­tive com­pli­ca­tions ­have low­er QoR ­Scores. ­Patient sat­is­fac­tion is asso­ciat­ed ­with high­er QoR ­Scores. The meas­ure­ment of qual­ity of recov­ery is an impor­tant ­aspect of a qual­ity anaesthet­ic prac­tice. The QoR ­Score can be incor­po­rat­ed ­into rou­tine prac­tice and ­this ­should ­improve ­patient ­care and resul­tant lev­els of sat­is­fac­tion.

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