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Figure 1: Generic and new ICU preoperative form. Generic preoperative form (left): Evaluation form used by anesthesia residents for preoperative data collection. Before creation of the new ICU preoperative form, this form was used for the evaluation of all patients, including non-ICU and ICU patients, prior to surgery. Currently, this is the form used to evaluate outpatients and inpatients not requiring critical care needs prior to surgery. New ICU preoperative form (right): New evaluation form created for preoperative data collection for ICU patients prior to surgery. The overall format from the generic preoperative form was maintained to optimize familiarity and comprehension of the new form. Headings deemed important for perioperative evaluation of an ICU patient were added to facilitate more comprehensive data collection. These include specific ventilation modes and settings, intravascular lines and access, and antibiotic regimens. The ICU form was finalized after multiple test releases and revisions. |