2. 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.
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
3. 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
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
4. 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.
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
5. 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
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
6. 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
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
7. Risks and Fears in Ambulatory Surgery
Total Surgeries 2009-11 (2470)
803
560
432
378
138 110
42 4
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2 Sept 2011
8. Risks and Fears in Ambulatory Surgery
Experience From One Center
Untoward Events
• Complications
• Transfer to Hospital
• Readmission
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
9. 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
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2 Sept 2011
10. 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
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
11. 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
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
12. Risks and Fears in Ambulatory Surgery
Thank you
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drmgbhat@novamedicalcenters.com National Conference Ambulatory Surgery, Bangalore 2/9/2011
