[smartdoctor] RE: "Prijeanestezijski upitnik" OSAMDESETŠEST PITANJA $%%&&/$#"$%&//())(?????!!!/malo kraće od Tolstoja...
- From: "bari sita" <bari.nikola.sita@xxxxxxxxx>
- To: <smartdoctor@xxxxxxxxxxxxx>
- Date: Wed, 1 Oct 2014 23:34:38 +0200
http://www.uptodate.com/contents/preoperative-medical-evaluation-of-the-healthy-patient#H23
CLINICAL EVALUATION
In general, the overall risk of surgery is extremely low in healthy
individuals. Therefore, the ability to stratify risk by commonly performed
evaluations is limited.
Screening questionnaire — Screening questions appear on many standard
institutional preoperative evaluation forms. One validated screening
instrument, derived from 100 patients, comprises 17 questions that allowed
nurses to identify those patients who would benefit from a formal preoperative
evaluation by an anesthesiologist (
<http://www.uptodate.com/contents/preoperative-medical-evaluation-of-the-healthy-patient#subscribeMessage>
table 1) [
<http://www.uptodate.com/contents/preoperative-medical-evaluation-of-the-healthy-patient/abstract/1>
1]. The questions chosen for this questionnaire were devised to detect
pre-existing conditions shown to be associated with perioperative adverse
events.
Eto u svijetu mogu MEDICINSKE SESTRE detektirati stanja koja zahtijevaju
preoperativnu obradu SA 17 PITANJA.Ali mi imamo visokoobrazovane administratore
slome koji nemaju što raditi.Ida
From: bari sita [mailto:bari.nikola.sita@xxxxxxxxx]
Sent: Wednesday, October 01, 2014 11:20 PM
To: 'smartdoctor@xxxxxxxxxxxxx'
Subject: RE: "Prijeanestezijski upitnik" OSAMDESETŠEST PITANJA
$%%&&/$#"$%&//())(?????!!!/malo kraće od Tolstoja...
Routine Preoperative Testing Before Cataract Surgery
Clinical Highlights
Key Finding: Routine preoperative testing before cataract surgery does not
improve patients' health or clinical outcomes, according to a study sponsored
by the Agency for Healthcare Research and Quality (AHRQ).
Findings
The authors of the study conclude that having routine medical tests done for
cataract patients before they have surgery does not improve their health or
their clinical outcomes. The standard battery of preoperative tests comprises:
· 12-lead electrocardiogram.
· Complete blood count.
· Measurement of serum levels of electrolytes, urea nitrogen,
creatinine, and glucose.
·
http://www.ahrq.gov/research/findings/factsheets/aging/precataract/index.html
Mi naravno i dalje imamo daleko više preoperativnih pretraga (katarakta), a
novo je da je u cilju racionalizacije...... još NADODAN i UZV oka
preoperativno....
Očito je da preoperativna obrada uopće ne utječe na zdravlje pacijenta niti
kliničke ishode,ali zato utječe na MINUS u blagajni...Ida
From: bari sita [mailto:bari.nikola.sita@xxxxxxxxx]
Sent: Wednesday, October 01, 2014 11:04 PM
To: 'smartdoctor@xxxxxxxxxxxxx'
Subject: "Prijeanestezijski upitnik" OSAMDESETŠEST PITANJA
$%%&&/$#"$%&//())(?????!!!/malo kraće od Tolstoja...
Zajedno s pacijentom odgovarati ćemo na osamdeset i šest pitanja/devet
poglavlja....(samo Tolstojev -Rat i mir ima više poglavlja(12))
???????????,...zaključati ćemo upitnik pa potom propisivati pretrage koje je
taj upitnik generirao,pa onda naručivati pacijenta anesteziologu –uz nama
poznatu informatičku podršku to će trajati pola dana samo za jednog
pacijenta.Naručiti ćemo,ha,ha,ha..... dva preoperativna pacijenta
dnevno.....Unbeliveble –osamdeset i šest pitanja???????
To je rezultat procesa racionalizacije preoperativne pripreme ???Pa ljudi moji
gdje mi živimo i što misle oni koji nam kroje posao-kako se radi 90-120 posjeta
dnevno plus sve ostalo???Kako je krenulo pilotiranje mi ćemo raditi u
bolnicama,pisati potvrde i dopise policiji i sličnima,ispunjavati upitnike-samo
ne znam tko će raditi naš posao ?!Moja sućut Primorsko-goranskoj županiji koja
pilotira...Ida
From: smartdoctor-bounce@xxxxxxxxxxxxx
[mailto:smartdoctor-bounce@xxxxxxxxxxxxx] On Behalf Of Zeljka Vendler Cepelak
Sent: Wednesday, October 01, 2014 2:19 PM
To: smartdoctor@xxxxxxxxxxxxx
Subject: [smartdoctor] Re: Dopis i dokumentacija za pilot projekt
"Prijeanestezijski upitnik"
Tko su piloti, čije je to maslo ? Vjerojatno netko tko je slučajno zalutao u
obiteljsku pa liječi komplekse , ja za 8700 kn mjesečno neću još i to raditi,
tko će se baviti obiteljskom medicinom ?
Dana 1. listopada 2014. u 12:59 Josip Skender <joskender@xxxxxxxxx> je
napisao/la:
za uživanje na poslu-naravno retrogradno:
po običaju
još jedan CRO-DIAB upitnik
Dužnosnici i službenici Hrvatskog zavoda za zdravstveno osiguranje svjesni su
svog utjecaja na okoliš, te poduzimaju sve potrebne aktivnosti kako bi taj
utjecaj bio u prihvatljivim granicama. Kao jednu od mjera zaštite okoliša,
molimo da ne tiskate ovu elektronsku poruku, a u slučaju tiskanja da papir
svakako reciklirate.
--
"jskender"
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