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  1. Pre-admission clinics in ENT : A national audit of UK practice and opinion.

    Article - En anglais

    A one-year prospective audit (1989) of patient non-attendance for elective surgery in our department showed that of those summoned, five per cent defaulted on the day of admission without contacting the hospital (Hampal and Flood, 1992).

    Contributing factors such as lengthy waiting lists and inefficient communication with the patients were amenable to correction by the hospital.

    However, the current admission policy made inevitable a significant waste of theatre time.

    The pre-admission clinic (PAC), an outpatient attendance shortly before planned surgery, was recommended in ENT practice by Robin (1991) and introduced into our department that year.

    Failure to attend the PAC allowed adequate time for replacement on the theatre list and was recommended as a solution to the problem of unfilled theatre sessions (Dingle et al., 1993).

    A subsequent four-year experience of conducting PACs has confirmed several expected advantages.

    However, some of the hopes for development expressed in our earlier work (Dingle et al., 1993) have failed to materialize.

    This study aims to review retrospectively our experience and compare it with the admission practice and desires of ENT departments in the United Kingdom as revealed by a postal survey.

    The findings are of relevance to all surgical specialties and to anaesthetic departments wishing to adopt this system of admission.

    Mots-clés Pascal : Chirurgie, ORL, Organisation, Planification, Intervention, Admission hôpital, Malade, Royaume Uni, Europe, Pratique professionnelle, Enquête, Désistement, Préadmission

    Mots-clés Pascal anglais : Surgery, ENT, Organization, Planning, Operation, Hospital admission, Patient, United Kingdom, Europe, Professional practice, Survey

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0321353

    Code Inist : 002B30A04D. Création : 12/09/1997.