Regional anesthesia

Anesthesia start time documentation accuracy where peripheral nerve block is the primary anesthetic

Reg Anesth Pain MedPublished Retrospective cohort study

Authors' conclusion

The performance of primary regional anesthesia procedure by a block team increased the incidence of inaccurate documentation and uncaptured potential revenue.

Study context

Population
Patients undergoing surgery with a peripheral nerve block as the primary anestheticcases analysed
Participants
745 patients
Exposure
Block team vs In-room attending
  • Block teamn = 482
  • In-room attendingn = 263reference
Outcome
Potentially inaccurate anesthesia start (AStart) time documentation (AStart <10 min before in-operating room time)

Main finding

As reported in the abstract

Potentially inaccurate AStart documentation

P < 0.001

Overall potentially inaccurate start times
439 cases (58%)

Observational data: associations, not effects.

Further findings

Estimated loss in billable revenue · study period

Total estimated lost billable revenue
$70 265

Original publication

Anesthesia start time documentation accuracy where peripheral nerve block is the primary anesthetic. Reg Anesth Pain Med. Published 19 April 2024. doi:10.1136/rapm-2024-105292

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