Assuntos
Instituições de Assistência Ambulatorial/organização & administração , Procedimentos Cirúrgicos Ambulatórios/economia , Centers for Medicare and Medicaid Services, U.S./economia , Equipamentos e Provisões/economia , Seguro Saúde/economia , Admissão e Escalonamento de Pessoal/economia , Centros Cirúrgicos/organização & administração , Instituições de Assistência Ambulatorial/estatística & dados numéricos , Procedimentos Cirúrgicos Ambulatórios/estatística & dados numéricos , Centers for Medicare and Medicaid Services, U.S./estatística & dados numéricos , Equipamentos e Provisões/estatística & dados numéricos , Humanos , Seguro Saúde/estatística & dados numéricos , Admissão e Escalonamento de Pessoal/estatística & dados numéricos , Centros Cirúrgicos/estatística & dados numéricos , Estados UnidosRESUMO
Safe medication management is an important aspect of preventing patient harm. Medication management in the ambulatory setting can be complicated because of state and federal regulations and requirements imposed by accrediting organizations. Ambulatory surgery center leaders should review their medication management programs internally to assess their comprehensiveness in terms of efficiency, meeting regulatory requirements, and keeping patients safe. Partnering with a pharmacist or pharmacy consultant can be a useful way to address challenges with proper medication management. Perioperative medication use and administration, postoperative pain management, medication disposal, staff member and physician education, proper documentation in the medical record by all disciplines, pharmacoeconomics, pharmacy compounding needs, and controlled medication management and oversight are all important components of this segment of care. Ensuring that medication management programs at ambulatory surgery centers meet all regulatory and patient safety requirements is essential.
Assuntos
Instituições de Assistência Ambulatorial/normas , Assistência Ambulatorial/normas , Adesão à Medicação/estatística & dados numéricos , Conduta do Tratamento Medicamentoso/normas , Guias de Prática Clínica como Assunto , Autocuidado/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Assistência Ambulatorial/estatística & dados numéricos , Instituições de Assistência Ambulatorial/estatística & dados numéricos , Feminino , Humanos , Masculino , Conduta do Tratamento Medicamentoso/estatística & dados numéricos , Pessoa de Meia-Idade , Autocuidado/estatística & dados numéricosRESUMO
Reprocessing single-use surgical supplies and devices is an option for hospitals and ambulatory surgery centers (ASCs). The US Federal Government has recognized the practice since 2000, and regulatory oversight has increased dramatically since that time. Reprocessing single-use devices is safe when personnel use approved methods, and health care facilities can experience significant cost savings by participating in this type of initiative. This article explores reprocessing and its benefits in ASCs, including a review of the oversight that the US Food and Drug Administration currently has for reprocessing and a discussion of the results of studies pertaining to this practice. The article also describes some issues that ASC leaders need to be aware of when considering the implementation of a reprocessing program. Single-use device reprocessing can be an effective tool for ASC leaders to conserve and manage resources.