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To evaluate of PACMAN triage system is able to discern patient who may be safely screened by phone
PACMAN triage system consists of a health questionnaire and an algorithm. Patient were called up by registered nurses and asked to answer the questionnaire. Patients answers were applied to PACMAN algorithm to determine what kind of screening patient should receive: in person or by phone.
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| Measure | Description | Time Frame |
|---|---|---|
| Reduction of the number of in person consultations | In 2019 all patients were screened in person. Aim of the study is to evaluate whether implementation of PACMAN leads to a significant reduction of the number of in person consultations | between start inclusion and 6 months after start inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| Reliability of PACMAN | Reliability of the triage procedure was evaluated by verifying the PACMAN outcome (PhC vs in-PC) against the assigned ASA-PS classification. Patients scheduled for a PhC were considered to be accurately triaged if classified ASA-PS I-II or III with stable comorbidities. Patients scheduled for an in-PC were considered to be accurately triaged if classified ASA-PS III with unstable comorbidities or IV. |
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Inclusion Criteria:
Exclusion Criteria:
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Patients scheduled for all kind of surgical procedures except cardiac surgery and intracranial surgery
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| Name | Affiliation | Role |
|---|---|---|
| Barbe Pieters, Dr.PhD | Jeroen Bosch Hospital, 's Hertogenbosch The Netherlands | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Jeroen Bosch Ziekenhuis | 's-Hertogenbosch | North Brabant | 5200 ME | Netherlands |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39252617 | Derived | Di Biase M, van der Zwaard B, Aarts F, Pieters B. Pre-operative triAge proCedure to streaMline elective surgicAl patieNts (PACMAN) improves efficiency by selecting patients eligible for phone consultation: A retrospective cohort study. Eur J Anaesthesiol. 2024 Nov 1;41(11):813-820. doi: 10.1097/EJA.0000000000002055. Epub 2024 Sep 9. |
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| between start inclusion and 6 months after start inclusion |
| Patients outcome | To measure the impact of PACMAN on patient outcomes we evaluated the occurrence of perioperative unanticipated adverse events (UAE). An anaesthesia-related UAE was defined as an event causing mortality or morbidity, occurring during the perioperative period or up to seven days after surgery and requiring special medical treatment or prolongation of hospitalisation beyond the expected length of stay. Data concerning perioperative UAE were collected by reviewing the EMR of patients who had undergone surgery. | between start inclusion and 6 months after start inclusion |
| Cost-effectiveness | we examined cost-effectiveness and efficiency by determining the time taken by screening staff for a single PhC or in-PC and the average number of patients screened before and after implementation of PACMAN along with related staff costs. | between start inclusion and 6 months after start inclusion |