Outpatient Surgery Magazine

Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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OSE_1309_part3_Layout 1 9/6/13 12:21 PM Page 145 INFECTION PREVENTION long-term therapy. In our sometimes-fragmented healthcare system, it's critical to use the perioperative contact to improve overall health. This requires some creative and progressive resource allocation among the surgical, anesthesia, endocrine and primary care clinicians. Sometimes the only practical option for urgent management of a pre-op patient with high glucose is a referral to the emergency department or pre-admission. Similarly, insulin pumps may trigger an endocrine consult. This is an inefficient use of resources. The medical management isn't usually complex, but it does require someone with the confidence, time and authority to institute protocols and adjust insulin doses. A clinician with diabetes management experience "on loan" to the pre-op clinic may be a more efficient and patient-centered model of care. As payments for perioperative care become more global in nature, this cooperation will become more critical for financial viability, as well as for good patient care. OSM Dr. Olson (ron.olson@duke.edu) is medical director of pre-operative assessments at Duke University Hospital in Durham, N.C. S E P T E M B E R 2013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E PHACO HANDPIECE REPAIR Complete handpiece rebuild on most major brands Call AOI for Information 800.576.1266 or 949.580.1266

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