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Evid Based Nurs 6:122 doi:10.1136/ebn.6.4.122
  • Quality improvement

Preoperative assessments by trained nurses were equal in quality to assessments by preregistration house officers


 
 QUESTION: Are preoperative assessments by trained nurses equal in quality to those done by preregistration house officers?

Design

Randomised (allocation concealed), unblinded, controlled equivalence/non-inferiority trial.

Setting

4 hospital sites in 3 UK National Health Service Trusts.

Patients

1907 patients who required assessment before general anaesthesia for general, vascular, urological, or breast surgery. 1874 patients (98%) were included in the analysis (mean age 57 y, 49% women).

Intervention

954 patients were allocated to preoperative assessment by a nurse who had completed master’s level courses in advanced practice or equivalent. 953 patients were allocated to assessment by a preregistration house officer.

Main outcome measures

1 of 2 specialist registrars in anaesthesia examined each patient after the nurse or house officer and assessed their performance in each of history taking, physical examination, and test …

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