12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011
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12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011 12 dr mg-bhat-risks-and-fears-ambulatory-surgery_ncas_2011 Presentation Transcript

  • Risks and Fears in Ambulatory Surgery Greetings From… Dr. M G Bhat MS, FRCS(England), FRCS ( Edinburgh), FICS, DMLE (Law), DMIRCSEd (Informatics) Consultant Surgeon, Bangalore Medical Director, Nova Medical Centers Ltd, India drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011 1 ©2009. Nova Medical Centers. Strictly private and confidential
  • Risks and Fears in Ambulatory Surgery The Ambulatory Surgery (Day Surgery & Short Stay Surgery) Ambulatory Surgery in USA, in the last two decades has become the most efficient form of Surgical Healthcare Delivery. This delivery system is growing in the Europe. And we in India are in the process of Developing and Popularizing the Ambulatory Surgery. 2drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery Reasons for the Popularity •Progress in Anesthesia •Improved Surgical Techniques •Fast Tracking Approach •Post Operative Management •Pain Management •Doctors Mindset •Patients Mindset 3drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery From Patient’s Point • Surgery is a major stressor for all Patients. • Anxiety and fear are normal. • Fear of the unknown is the most prevalent fear prior to surgery and is the fear that is the easiest for all the staff to help the patient to overcome. 4drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery Small Stand Alone Centers With State of the Art Facilities •Efficient •Attractive •Cost Effective • Financial and organizational Benefits • Multispecialty Procedures performed On fit patients (Minor to Supramajor) • Discharged in a Short Period 5drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery Safety is the key for Success The only way Ambulatory Surgery will become Popular and Accepted is if the Healthcare delivery is safe and effective 6drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery Total Surgeries 2009-11 (2470) 803 560 432 378 138 110 42 4 7drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2 Sept 2011
  • Risks and Fears in Ambulatory Surgery Experience From One Center Untoward Events • Complications • Transfer to Hospital • Readmission 8drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery Patients Requiring Transfer 5 Transfers and One Treatment/2470 • Post Lap Chole – Chest Problems • Post Adenoidectomy- Bleeding Managed in center with Blood Transfusion • Post Septoplasty- Bleed – • Post Adenoidectomy- Breathing Problem- • Post TURP- Urinary Retention • Intestinal Tear during surgery- shifted for Hospitalization Compared to 1-2% in USA 9drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2 Sept 2011
  • Risks and Fears in Ambulatory Surgery Factors for Safety • Analyze the Risks and Fears & Solve them • Qualified and Skilled Doctors & Staff • Comply with All Regulatory Rules • Ensure Quality of Service ( Accreditation) • Comply with All Legal Requirements • Incident Reporting & Corrective Measures 10drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery Provide Good Care • Availability of Continuous Care • Good Selection of Patient • Patient well informed • Good Post Op Care • Home Support • Shift Patient if required 11drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
  • Risks and Fears in Ambulatory Surgery Thank you 12drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011