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Perspective: Assuring the Safety of Facial Plastic Surgery Patients
Robert L. Simons, MD
North Miami Beach, Fla
Arch Facial Plast Surg. 2000;2:70-72.
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INTRODUCTION
Assuring patient safety has been a topic of much debate recently, sparked by sensational media reports in Florida and California of the death or serious injury of patients who underwent elective surgery in office-based surgical suites. In hearings convened by legislatures and medical boards in both states, a spate of laws and regulations is being discussed that would increase governmental oversight of office-based surgery. Unlike hospitals and ambulatory surgery centers, which have long been subject to state regulations, office-based surgery facilities have been largely unregulated.
As these laws and regulations are being considered, it is interesting to reflect that only 35 years ago all surgery was performed in hospitals. Physicians went to hospitals to learn and practice the principles of safe, effective patient care. Patients also went to hospitals, where they not infrequently endured prolonged stays for relatively minor procedures. I can remember admitting patients for . . . [Full Text of this Article]
MANDATED: FACILITIES ACCREDITATION AND ADVERSE INCIDENCE REPORTING
REQUIRED: ESSENTIAL TRAINING AND CERTIFICATION, HOSPITAL PRIVILEGES, AND TRANSFER PROTOCOLS
LIMITED: LIPOSUCTION AND DURATION OF SURGERY
MATTERS OF JUDGMENT: ADMINISTRATION OF ANESTHESIA AND OVERNIGHT RECOVERY STAYS
CONCLUSION: A HEALTHY DEBATE AND AN OPPORTUNITY TO EDUCATE
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