Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Dec 2010
[Routine preoperative testing: Impact of implementation of local recommendations in a teaching hospital].
to compare the number and the cost of preoperative tests ordered before scheduled surgery before and after implementation of local guidelines. ⋯ existing practice is overall poor. Non-compliance of preoperative testing to guidelines is a significant cause of uncontrolled cost. Change in compliance is a slow process.
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Ann Fr Anesth Reanim · Dec 2010
[Failure to perform auto-test of anaesthesia machine at the opening of the operating room].
controls performed at the opening of the operating room include the anesthesia machine auto-test. Omitting the preoperative checklist is unsafe for the patient and increases the risk of possible breakdowns. The purpose of this study was to evaluate the incidence and the situations in which the auto-test of the machine was not performed at the opening of the operative room. ⋯ the auto-test of the anesthesia machine was correctly made in most cases but there are still situations where the checklist wasn't carried out. Therefore, the human factor seems important and justifies to be taken into account.