Analysis of the Implementation of Integrated Healthcare Management in Preoperative Preparation
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Integrated healthcare
Preoperative preparation
Rate of inadequate preoperative preparation



Submitted : 2023-05-01
Accepted : 2023-05-16
Published : 2023-05-31


Objective: To strengthen preoperative preparation management and reduce preoperative preparation defects. Methods: We set up a special medical care management team to investigate the preoperative preparation in surgical departments, analyze the causes of the shortcomings in preoperative preparation, and propose countermeasures. The medical staff jointly formulated plans related to preoperative preparation management including clear outline of responsibilities, strengthening of training, integrated medical care, timely feedback, and continuous improvement. Besides, the preoperative preparation of patients before and after the improvement measures were compared using statistical analysis. Results: The rate of inadequate preoperative preparation was 11.14 per thousand before the integrated management model was implemented. After the implementation of the integrated management model, the rate of inadequate preoperative preparation decreased to 2.99 per thousand, and the difference was statistically (P < 0.05). Conclusion: The integrated management of preoperative preparation can help reduce the rate of preoperative complications and ensure the safety of surgery.


Baldini G, Ferreira V, Carli F, 2018, Preoperative Preparations for Enhanced Recovery After Surgery Programs: A Role for Prehabilitation. Surg. Clin. North Am. 98(6): 1149–1169.

Powell R, Scott NW, Manyande, et al., 2016, Psychological Preparation and postoperative Outcomes for Adults Undergoing Surgery Under General Anaesthesia. Cochrane Database Syst. Rev, 2016(5): CD008646.

Molina-Mula J, Gallo-Estrada J, 2020, Impact of Nurse-Patient Relationship on Quality of Care and Patient Autonomy in Decision-Making. Int. J. Environ. Res. Public. Health 17(3): 835.

Malley A, Kenner C, Kim T, et al., 2015, The Role of the Nurse and the Preoperative Assessment in Patient Transitions. AORN J, 102(2): 181.e1–181.e9.

Chand M, Armstrong T, Britton G, et al., 2007, How and Why do We Measure Surgical Risk? J. R. Soc. Med. 100(11): 508–512.

Zambouri A, 2007, Preoperative Evaluation and Preparation for Anesthesia and Surgery. Hippokratia, 11(1): 13–21.

Bouamrane M-M, Mair FS, 2014, Implementation of an Integrated Preoperative Care Pathway and Regional Electronic Clinical Portal for Preoperative Assessment. BMC Med. Inform. Decis. Mak, 14(22): 93.

Mulloy DF, Hughes RG, 2008, Wrong-Site Surgery: A Preventable Medical Error, In Patient Safety and Quality: An Evidence-Based Handbook for Nurses, Agency for Healthcare Research and Quality, Maryland.