Observational studyPaediatric anaesthesia2026
Pediatric Preanesthesia Assessment Electronic Triage Tool: Implementation, Quality Improvement, and Retrospective Observational Evaluation of a Patient-Administered Questionnaire.
Observational study in Paediatric anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreanesthesia assessment is essential but resource-intensive. Electronic health records (EHRs) are widespread, yet pediatric perioperative screening remains variable.
objectiveTo develop and implement a preanesthesia triage tool based on patient-administered electronic triage questionnaire (PAC-Q) integrated with the Epic EHR to streamline pediatric preanesthesia assessment.
methodsUsing a quality-improvement framework, we created a preanesthesia triage tool that includes an adapted version of Epic's foundation questionnaire to form a 28-item PAC-Q distributed via MyChart. Responses were weighted (0, 1, or 100) to generate a triage score that, together with surgical risk, routed patients to an RN, NP, or MD for preanesthesia assessment. Implementation was staggered across surgical services. Adoption and outcomes were monitored via Epic dashboards and Power BI.
resultsBy August 31, 2025, 3993 patients completed the PAC-Q. Of these, 53.7% (2144/3993) were triaged to an RN, 12.3% (492/3993) to an NP, and 6.8% (272/3993) to an MD; 27.1% (1083/3993) were cleared by chart review without further consultation. Comparing April-June 2023 with April-June 2025, completed preanesthesia assessments increased from 71.3% (1182/1659) to 83.8% (1510/1802) (χ
conclusionsThe PAC-Q is a scalable, patient-centered digital tool that standardizes pediatric preanesthesia triage, reduces unnecessary visits, and improves screening uptake. It can be adapted to diverse perioperative settings to enhance efficiency and patient experience.
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