Pre‐admission clinics in day surgery. The ‘one‐stop shop’: tools and methods for practice improvement and service development

The improvement of services aligned to day surgery is a still prominent topic in government policy debates and an important development area for many NHS trusts. This article attempts to describe the emergence of the ‘one-stop shop’ approach in surgical outpatients and preoperative assessment clinics. It portrays the ways in which one clinical team moved their ideas forward to develop an integrated, multidisciplinary service, and describes the tools and methods they adopted to cross the borderlands between practice development and service improvement, to enable success. Copyright © 2009 John Wiley & Sons, Ltd.

[1]  J. Gilmartin Day surgery: patients' perceptions of a nurse-led preadmission clinic. , 2004, Journal of clinical nursing.

[2]  G. Richardson,et al.  Fewer doctors? More nurses? A review of the knowledge base of doctor-nurse substitution , 1995 .

[3]  I Smith,et al.  Rising to the challenges of achieving day surgery targets , 2006, Anaesthesia.

[4]  C. Czoski-Murray,et al.  Effectiveness of appropriately trained nurses in preoperative assessment: randomised controlled equivalence/non-inferiority trial , 2002, BMJ : British Medical Journal.

[5]  H. Walsgrove Piloting a nurse-led gynaecology preoperative-assessment clinic. , 2004, Nursing times.

[6]  Robert Parent,et al.  A systems-based dynamic knowledge transfer capacity model , 2007, J. Knowl. Manag..

[7]  A. Dahlmann-Noor,et al.  The cataract service satisfaction tool , 2007 .

[8]  J. Gilmartin,et al.  The nurse's role in day surgery: a literature review. , 2007, International nursing review.

[9]  C. Gale,et al.  Prevention of age related macular degeneration , 2002, BMJ : British Medical Journal.

[10]  Steve Page,et al.  Practice development — time to realize the potential , 2002 .

[11]  Mitchell Anxiety management: a distinct nursing role in day surgery. , 2000, Ambulatory surgery.

[12]  H. Chin,et al.  Practice development in healthcare service reform. , 2009, Nursing management.

[13]  Jane Mallett Guidance for the neophyte practice developer , 2005 .

[14]  J. Eve Sustainable practice: how practice development frameworks can influence team work, team culture and philosophy of practice. , 2004, Journal of nursing management.

[15]  I. Jackson Day surgery overview: Where are we now, how did we get here and where are we going? , 2007 .

[16]  A. Chang,et al.  Making nursing work: breaking through the role confusion of advanced practice nursing. , 2007, Journal of advanced nursing.

[17]  A. Pearson,et al.  “Best practice” in day surgery units: a review of the evidence , 2004 .

[18]  B. Totterdell The practice development accreditation programme at the University of Leeds , 2004 .