Use of pre-procedure electronic questionnaire to enhance scheduling and safety in interventional radiology procedures with anesthesia care Journal Article
| Authors: | Serafin, J.; Barnett, K. M.; Liu, T. J.; Maresca, N. M.; McCormick, P. J.; Kotin, A. L. |
| Article Title: | Use of pre-procedure electronic questionnaire to enhance scheduling and safety in interventional radiology procedures with anesthesia care |
| Abstract: | The growth of interventional radiology (IR) procedures with anesthesia team care in increasingly medically complex populations points to the need for effective and efficient pre-procedure screening. We present an ongoing quality improvement project involving a brief online questionnaire disseminated to patients three to ten days before the day of their scheduled IR procedures. The questionnaire was developed by anesthesiologists and a nurse practitioner to increase pre-procedure awareness of relevant medical concerns, guide scheduling of procedures at outpatient versus inpatient locations, and improve patient pre-procedure management. The response rate after one year was 57% and indicated that at least 1 in 10 patient histories required review and discussion by the care team. The most common concerns were shortness of breath (8%), difficult airway (3%) and syncope (3%). Most procedures proceeded as scheduled, however, 18 procedures (0.4% of patients who responded), had to be rescheduled from an outpatient to the inpatient site due to medical concerns. The electronic pre-procedure screening has been feasible to implement at a busy clinical practice and has improved team communication, patient preparedness, and scheduling at appropriate locations. The team has since expanded the questionnaire to other non-operating room anesthesia procedures and added questions about opioids and glucagon-like peptide-1 receptor agonists use. Future work needs to evaluate whether the online pre-screening was associated with decreases in cancelation rates and cost savings. © 2025 Elsevier Inc. |
| Keywords: | patient selection; interventional radiology; quality improvement; scheduling; organizational efficiency; preoperative screening |
| Journal Title: | Current Problems in Diagnostic Radiology |
| ISSN: | 0363-0188 |
| Publisher: | Elsevier Inc. |
| Publication status: | Online ahead of print |
| Date Published: | 2025-04-17 |
| Online Publication Date: | 2025-04-17 |
| Language: | English |
| DOI: | 10.1067/j.cpradiol.2025.04.008 |
| PROVIDER: | scopus |
| PUBMED: | 40287283 |
| DOI/URL: | |
| Notes: | Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- MSK corresponding author is Joanna Serafin -- Source: Scopus |
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