Surgery performed in the office setting, as compared to a hospital or an ambulatory surgi-center, offers convenience, privacy, personalized attention, and reduced costs. Thus, office-based surgery (OBA) is a type of ambulatory surgery. Millions of different surgical procedures are performed in the offices every year performed by dermatologists, plastic surgeons, dentists, ophthalmologists, gastroenterologists, gynecologists, otolaryngologists, and other surgical sub-specialists. Many of these procedures also require anesthesia, range may include local, conscious sedation, regional or general.
As the number, type and complexity of office procedures continues to grow, it becomes essential that the offices maintain the highest standards of care and comply with all state and federal regulations.
As a patient, you have a right to know about your OBS facility and your healthcare provider. Questions to ask your provider include board certification, qualifications to performed planned surgical procedure, and whether your provider is credentialed at a local hospital facility to perform a similar procedure. You may also want to learn about your provider’s safety record – some of this information is public and is generally available on your state’s Medicine Board of Registration website. If you procedure requires anesthesia, inquire about the qualifications of your anesthesia provider and discuss all anesthetic options available to you.
The safety of office based surgery in accredited facilities is well-established. As a patient you need to make sure that the office where you are to undergo a surgical procedure meets all state and federal guidelines and has obtained all proper facility accreditation. There are there major organizations that accredit offices: American Association for Accreditation of Ambulatory Surgery Facilities, the Accreditation Association for Ambulatory Health Care, and The Joint Commission.
Given numerous reports of healthy patients suffering major harm while undergoing routine office-based procedures, the Institute of Safety in Office Based Surgery strives to provide more information and educational resources for patients, and to increase public awareness.