Identification of the Article’s Main Background and Main Purpose
The article is based on ambulatory care and how it has been growing in the healthcare industry. Despite being an essential part of healthcare delivery, less research has been conducted to show the issues that exist in ambulatory surgery services provided to the patients in preparation for the operation. Studies indicate that ambulatory surgery has been on the increase since 1996 with more than 300 percent. A patient is supposed to be provided with Preoperative care or pre-op where they are prepared psychologically and physiologically to undertake the procedure (DeFilippis, Blickensderfer, & Keebler, 2017). The pre-op is meant to reduce risks associated with surgery and make sure that a speedy recovery is promoted.
The article, however, shows that the challenges experienced in preoperative care have not been explored, an indication that the promotion of healthcare is limited. The issue of human performance, for instance, lack of coordination between the care providers and the way it affects pre-op care have not been explored to the fullest. A research conducted indicated that there are patient safety hazards which exist. The team members during the surgery are also seen to have issues such as with understanding the roles each of them plays and that may results in serious human mistakes during the pre-op care.
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Evaluation
The article is convincing enough of the challenges which exist in the pre-op care since researches which have been done on the issue have been included. A study by Carayon et al. (2006), for instance, has been used and it shows that there are potential safety hazards which may exist and 8 % of the responded strongly agreed with the case. Another research by (Burtscher and Manser, 2012) indicated that there is less research done on ensuring the effectiveness of the team players in outpatient surgery. The argument in the article assumes that lack of enough study on ambulatory surgery and various elements such as how effective the team members are is responsible for the challenges experienced in pre-op care.
The provided information can be useful in ambulatory surgery services. There are recommendations provided for each issue faced in the health departments. The surgeons and healthcare providers can use these recommendations to improve outpatient surgery and ensure that speedy healing of the patient is achieved. Implementing strategies that can ensure the efficacy of the surgery team through role identification is an example. There should be a nurse preparing the patient before the surgery and conducting the tests required, and there should be a nurse ready after the operations to help the patient. Such operations will help improve outpatient surgery ( Boytim & Ulrich, 2018) . Compared to other current theory and research on the issue, the article provides challenges faced in ambulatory preoperative care and how the issue can be improved.
Response
The article is highly beneficial to providers who operate in outpatient surgeries. It is a guide on how the patients should be assisted to make sure that they can recuperate fast after the surgery, and how to avoid infections on the operated area considering that they will not be held in the hospital for a checkup. The article avoids the issue of following up the patient after the surgery. Since the patient will not be held in the hospital, follow-up is required to determine how the wound in healing. However, the issue is avoided, showing that the speedy recuperation the surgery aims may not be achieved at the end. The article raises the question of the effectiveness of outpatient surgery (Blanchard, 2015). In most cases, the patients are released after 22 hours. There are rules related to healing an operation wound, and it is not covered in the article. It shows the risks the patients may be associated with such as infection which may worsen the health of the patient.
References
Boytim, J., & Ulrich, B. (2018). Factors contributing to perioperative medication errors: A systematic literature review. AORN journal , 107 (1), 91-107.
Blanchard, M. H. (2015). Pre-procedure Patient Evaluation and Management. In Office-Based Gynecologic Surgical Procedures (pp. 1-7). Springer, New York, NY.
DeFilippis, N., Blickensderfer, B., & Keebler, J. (2017, September). Preoperative Care Challenges in Ambulatory Clinics: A Proposed Research Agenda. In Proceedings of the Human Factors and Ergonomics Society Annual Meeting (Vol. 61, No. 1, pp. 1286-1290). Sage CA: Los Angeles, CA: SAGE Publications.
