Earlier scheduling may prevent anesthesia complications
Ambulatory Safety Monitor, August 10, 2006
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A recent study conducted at Duke University suggests scheduling surgery earlier in the day may help prevent unexpected problems related to anesthesia, including added pain and postoperative nausea and vomiting, The Washington Post reports.
Researchers analyzed three categories of adverse events-error, harm, and adverse events lacking error or harm-for more than 90,000 surgeries performed between 2000-2004. The study found that patients whose surgeries began late in the day were much more likely to experience an adverse event than patients whose surgeries started earlier in the day. For instance, patients undergoing surgery around 4 p.m. were four times more likely to request pain medication as those whose surgeries started at approximately 9 a.m.
The authors concluded that a variety of factors may influence the time-of-day effects on adverse events, including patient-related factors and medical care delivery factors (e.g., case load, fatigue, and care transitions).
Click here to read The Washington Post report.
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