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{{Short description|Surgery that does not require an overnight hospital stay}}
{{Globalize|1=article|2=USA|date=December 2019}}
'''Outpatient surgery''', also known as '''ambulatory surgery''', '''day surgery''',<ref name=LemosIAAS2006>{{cite book |name-list-
Outpatient surgery may occur in an inpatient facility, in a self-contained unit within a hospital (also known as a hospital outpatient department), in a freestanding self-contained unit (also known as an ambulatory surgery center), or in a physician's office-based unit.<ref name=LemosIAAS2006/>{{rp|61}} Between the late 20th century and early 21st century, outpatient surgery has grown in popularity in many countries.<ref name=LemosIAAS2006/>{{rp|22}} In the United States, 65% of surgeries at hospitals in 2012 were conducted on an outpatient basis, compared with 54% in 1992.<ref name=Wier2015>{{cite journal| vauthors=Wier LM, Steiner CA, Owens PL| title=Surgeries in hospital-owned outpatient facilities, 2012| journal=HCUP Statistical Brief
Studies have shown that outpatient surgery is as safe as or safer than inpatient surgery. For instance, complication rates and post-surgical hospitalization or readmission rates are comparable, and pain and infection rates are lower after outpatient surgery than inpatient surgery.<ref name=LemosIAAS2006/>{{rp|24}} Nevertheless, articles in the newsmedia (such as some discussing the 2014 death of [[Joan Rivers]] after an outpatient procedure) have questioned the safety of outpatient surgery performed at ambulatory surgery centers.<ref>{{cite news |vauthors=Boodman SG |date=2014-12-16 |title=Popularity of outpatient surgery centers leads to questions about safety |url= https://khn.org/news/popularity-of-out-patient-surgery-centers-leads-to-questions-about-safety/|work=Kaiser Health News |access-date=2018-06-11|quote=Federal officials who investigated Rivers’ death ... found numerous violations at the accredited clinic ...}}</ref><ref>{{cite news |vauthors=Jewett C, Alesia M|date=2018-03-02 |title=As surgery centers boom, patients are paying with their lives |url= https://khn.org/news/medicare-certified-surgery-centers-are-expanding-but-deaths-question-safety/|work=Kaiser Health News |access-date=2018-06-11|quote=... more than 260 patients have died since 2013 after in-and-out procedures at surgery centers across the country.}}</ref>
== Ambulatory surgery centers ==
'''Ambulatory surgery centers'''
===Procedures===
As of 2011, physicians performed more than 23 million procedures per year in over 5,300 ASCs in the United States.<ref name=ASCAHistory>{{Cite web|url=https://www.ascassociation.org/advancingsurgicalcare/asc/historyofascs|title=History of ASCs
===History===
The first
ASCs rarely have a single owner. Physicians partners who perform surgeries in the center will often own at least some part of the facility. Ownership percentages vary considerably, but most ASCs involve physician owners. Occasionally, an ASC is entirely physician-owned. However, it is most common for development/management companies to own a percentage of the center.
Some large healthcare companies own many types of medical facilities, including ambulatory surgery centers. The largest ASC chains in terms of numbers of centers include [[Envision Healthcare]], [[Tenet Healthcare]]/[[United Surgical Partners International]], [[Surgical Care Affiliates]], [[Hospital Corporation of America]], Ambulatory Surgical Centers of America, and Surgery Partners and Physicians Endoscopy.<ref
ASCs are in all 50 states and can be found throughout the world. In the US, most ASCs are licensed, certified by [[Medicare (United States)|Medicare]] and accredited by one of the major health care accrediting organizations. California is the leading US state in the number of Medicare Certified ASCs, followed by Florida, and then Texas. California has 694 ASCs. It is followed by Florida with 387 ASCs and then Texas with 347 ASCs.<ref
Although complications are very rare, ASCs are required by Medicare and the accreditation organizations to have a backup plan for transfer of patients to a hospital if the need arises.
The national nonprofit organizations that represents the interests of ASCs and their patients is [[Ambulatory Surgery Center Association]] (ASC Association), which was formed in 2008 when the [[Federated Ambulatory Surgery Association]] (FASA) and the American Association of Ambulatory Surgery Centers (AAASC) merged. William Prentice is the executive director of ASCA. He previously served as the director of the Washington office for the American Dental Association.<ref>
===Accreditation===
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[[Accreditation]] organizations for ASCs provide standards of medical care, record keeping, and auditing. Some of the goals of these organizations include continuous improvement of medical care in surgery centers and providing an external organization where the public can get information on many aspects of ASCs. These accreditation organizations require members to receive periodic audits. These audits will come every one to three years, depending on the accreditation organization and the circumstances of the surgery center. In an audit, a team of auditors visits the facility and examines the ASC's medical records, written policies, and compliance with industry standards.
Effective in 1996, California was the first state in the United States to require accreditation for all outpatient surgery settings that administer anesthesia.<ref name=McGuire2013>{{cite journal| vauthors=McGuire MF| title=International accreditation of ambulatory surgical centers and medical tourism | journal=Clin Plast Surg | year= 2013 | volume= 40 | issue= 3 | pages=
==See also==
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==Notes==
{{
==References==
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== External links ==
{{Wiktionary}}
{{
*[http://www.caaasf.org Canadian Association for Accreditation of Ambulatory Surgical Facilities]
*[http://www.iaas-med.com International Association for Ambulatory Surgery]
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{{Medicine}}
{{Authority control}}
[[Category:Ambulatory care]]
[[Category:Surgery]]
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