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* From the Department of Anesthesia, Stanford University School of Medicine, and the Preoperative Evaluation Program, Stanford University Hospital, Stanford, CA.
Correspondence to: Stephen P. Fischer, MD, Preoperative Evaluation Program, Stanford University Hospital, Stanford, CA 94305; e-mail: fischer_s{at}hosp.stanford.edu
Cost-effective preoperative evaluation can be approached from a variety of methods, educational strategies, and use of data to modify clinical practice. This article focuses on the proposed organizational and clinical changes in the process of preoperative evaluations, the cost-effective outcomes, and the relative merits these changes provide the physicians, operating room nurses, and center administrators.
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