The assessment of a growing mobile anesthesia practice from 2016 to 2019: A retrospective observational cohort study of 89,999 cases comparing ambulatory surgery (ASC) and office ‐based surgery (OBS) centers using a high‐fidelity, anesthesia‐specific electronic medical record (EMR)

We examined retrospective data from a large mobile anesthesia practice for 89,999 procedures from 2016 to 2019. Data was abstracted from billing and an anesthesia-specific electronic medical record, segregating procedures performed in ASCs versus OBS. The number and breadth of procedures increased substantially. Compared to ASCs, OBS patients were more likely male (52% vs. 48%), older (61 years vs. 55 years), and to have a higher American Society of Anesthesiologists (ASAs) status (33% vs. 20% ASA 3 or higher). The procedure mix varied substantially between the two settings. The major complication rate was 0.07% for the ASCs and 0.24% for OBS (p = 0.2, confidence interval [CI] −0.15 to 0.04). Minor complications were 11.2% in OBS versus 17.3% the ASCs (p <  0.0001, 95% CI 5.2–7). The practice demonstrates a low rate of complications, and despite the limitations of this study, the organization and structure of this large mobile anesthesia practice serves as a template for effective risk mitigation and patient safety.

Source: Journal of Healthcare Risk Management - February 21, 2022 Category: Hospital Management Authors: Fred E. Shapiro, Brian H. Park, Tal S. Levy, Brian M. Osman Tags: CLINICAL/PATIENT SAFETY Source Type: research