Construction and implementation of preoperative multidisciplinary evaluation clinic in a certain hospital
10.3760/cma.j.cn111325-20231225-00436
- VernacularTitle:某院术前多学科联合评估门诊的构建与实施
- Author:
Liangyan ZHANG
1
;
Lu ZHANG
;
Zijia LIU
;
Yuchao LIU
;
Xuan QU
;
Minglei ZHU
;
Lin KANG
;
Lixia CHEN
;
Le SHEN
;
Yuguang HUANG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院麻醉科，北京 100730
- Keywords:
Multidisciplinary;
Joint clinic;
Preoperative evaluation;
Elderly patients;
Prehabilitation
- From:
Chinese Journal of Hospital Administration
2024;40(8):604-608
- CountryChina
- Language:Chinese
-
Abstract:
To improve the current situation of multiple preoperative visits and evaluations for elderly patients and other patients with complex conditions, in December 2022, Peking Union Medical College Hospital established preoperative multidisciplinary evaluation clinic (shorted as joint clinic). The joint clinic established a multidisciplinary team, clarified service targets, and developed standardized clinic workflows to provide patients with a " one-stop" preoperative assessment(physical fitness assessment, nutritional assessment, and frailty assessment, etc.), nutritional optimization intervention, and prerehabilitation education and guidance services. This practice strengthened preoperative risk management, improved preoperative assessment efficiency, and ensured the safety of patients during the perioperative period. As of September 2023, the joint clinic had received a total of 128 patients, of which 86 underwent surgery after preoperative evaluation and prehabilitation optimization. The obesity rate, smoking rate, and number of frailty cases of these patients had decreased from 13.96%, 11.63%, and 18 at the time of visit to 9.30%, 4.65%, and 14 on the day before surgery, respectively. They had recovered well after surgery. This practice had improved the preoperative status of patients and created conditions for high-risk patients to undergo surgery smoothly, so as to provide references for other hospitals to carry out multidisciplinary collaborative preoperative evaluation works.
