{"id":2177,"date":"2026-06-16T11:12:34","date_gmt":"2026-06-16T09:12:34","guid":{"rendered":"https:\/\/medudoc.com\/nicht-kategorisiert\/preoperative-intake-process-where-doctors-lose-time-and-how-thats-changing\/"},"modified":"2026-06-23T10:49:00","modified_gmt":"2026-06-23T08:49:00","slug":"preoperative-intake-process-where-doctors-lose-time-and-how-thats-changing","status":"publish","type":"post","link":"https:\/\/medudoc.com\/en\/general\/preoperative-intake-process-where-doctors-lose-time-and-how-thats-changing\/","title":{"rendered":"Preoperative Intake Process: Where Doctors Lose Time\u2014and How That\u2019s Changing"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Preoperative counseling prior to a scheduled surgery is one of the most fundamental medical procedures. It is legally required, medically necessary, and at the same time one of the most time-consuming parts of the preoperative admission process. In many hospitals, this process still largely takes place the same way it did twenty years ago: handwritten forms, standard information conveyed verbally, and documentation completed after the consultation.  <\/p>\n\n<p class=\"wp-block-paragraph\">The real question isn&#8217;t whether this process can be digitized. It&#8217;s more specific: Where exactly does the effort lie\u2014and what structural changes can be made there without compromising the quality of the investigation? <\/p>\n\n<h3 class=\"wp-block-heading\">Three areas where costs are systematically incurred<\/h3>\n\n<p class=\"wp-block-paragraph\">A typical preoperative admission process is divided into three stages: preparing patients before their appointment, the medical history and informed consent phase at the facility, and documentation and handover to the hospital information system (HIS). In each of these phases, paper-based processes give rise to structural inefficiencies\u2014not due to individual errors, but because of systemic issues. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Before their appointment<\/strong>, patients often do not receive their medical records until they arrive at the clinic. Medical history forms are filled out by hand and are often incomplete. Missing information regarding prior medical conditions, medications, or allergies must be gathered again during the consultation\u2014an extra step that would not be necessary if the documentation were complete in advance.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>During the informational session<\/strong> itself, basic information about standard procedures is conveyed verbally on a daily basis, regardless of what a person has already understood and what they have not. The session begins at a standardized starting point rather than addressing areas where an individual still needs clarification. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>After the consultation<\/strong>, additional work is required due to media discontinuity: handwritten or form-based consent documents are scanned and maintained alongside the digital patient record. The transfer to the HIS is done manually or not at all. <\/p>\n<style>.kb-image2168_5da648-bb .kb-image-has-overlay:after{opacity:0.3;}<\/style>\n<figure class=\"wp-block-kadence-image kb-image2168_5da648-bb size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"562\" src=\"https:\/\/medudoc.com\/wp-content\/uploads\/2026\/06\/aufnahmeprozess-illustration-1024x562.png\" alt=\"Schematische Darstellung pr\u00e4operativer Aufnahmeprozess Klinik\" class=\"kb-img wp-image-2173\" srcset=\"https:\/\/medudoc.com\/wp-content\/uploads\/2026\/06\/aufnahmeprozess-illustration-1024x562.png 1024w, https:\/\/medudoc.com\/wp-content\/uploads\/2026\/06\/aufnahmeprozess-illustration-300x165.png 300w, https:\/\/medudoc.com\/wp-content\/uploads\/2026\/06\/aufnahmeprozess-illustration-768x421.png 768w, https:\/\/medudoc.com\/wp-content\/uploads\/2026\/06\/aufnahmeprozess-illustration-1536x843.png 1536w, https:\/\/medudoc.com\/wp-content\/uploads\/2026\/06\/aufnahmeprozess-illustration.png 1693w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n<h3 class=\"wp-block-heading\">What the data shows<\/h3>\n\n<p class=\"wp-block-paragraph\">A prospective cluster-randomized <a href=\"https:\/\/medudoc.com\/en\/studies\/wurzburg-university-hospital-video-assisted-surgical-clarification-up-to-78-time-saving\/\" data-type=\"post\" data-id=\"1600\">study<\/a> conducted at the University Hospital of W\u00fcrzburg has quantified the potential cost savings associated with <a href=\"https:\/\/medudoc.com\/en\/tag\/patient-education\/\" data-type=\"category\" data-id=\"3\">the preoperative consultation<\/a> alone. The study compares video-assisted preoperative counseling with conventional counseling in terms of time required and patient satisfaction. It was published in September 2024 in the Journal of Gastroenterology (Leicht S, Sch\u00fctze L, Lock JF, Germer C-T, Wagner JC. \u201cVideo-assisted preoperative counseling\u2014significant time savings with high patient satisfaction.\u201d Z Gastroenterol 2024; 62(09): e834. DOI: 10.1055\/s-0044-1790093) and presented at the Visceral Medicine 2024 conference.<\/p>\n\n<p class=\"wp-block-paragraph\">A total of 101 patients scheduled for elective cholecystectomy or colon surgery were enrolled and assigned to an intervention group receiving video-assisted counseling and a control group receiving the hospital\u2019s standard care.<\/p>\n\n<p class=\"wp-block-paragraph\">The result: For cholecystectomies, the preoperative consultation in the intervention group lasted a <strong>median<\/strong> of <strong>2.2 minutes\u2014compared with 9.7 minutes<\/strong> in the control group. This corresponds to a reduction of approximately 77% (p &lt; 0.001). For colon procedures, the difference was 4.7 minutes versus 14.6 minutes, a reduction of approximately 68% (p &lt; 0.001).  <\/p>\n\n<p class=\"wp-block-paragraph\">What makes these figures particularly relevant is that patient satisfaction remained nearly identically high in both groups. <strong>75.5% of respondents rated the information provided as \u201cvery good,\u201d and 24.5% as \u201cgood\u201d<\/strong> \u2014regardless of whether they received video-assisted or conventional counseling.<\/p>\n\n<p class=\"wp-block-paragraph\">The study thus provides empirical evidence for what many medical colleagues intuitively suspect: the time required for the consultation decreases measurably when patients arrive well-prepared. The informational value of the consultation is not compromised as a result. <\/p>\n\n<h3 class=\"wp-block-heading\">What changes when the entire process is planned digitally<\/h3>\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/medudoc.com\/en\/video-assisted-patient-education\/\" data-type=\"page\" data-id=\"2004\">Video-based patient education<\/a> alone has only a limited impact on the overall workload if the medical history is still recorded on paper and the consent form is subsequently scanned. The key to efficiency lies in streamlining the individual steps of the process. <\/p>\n\n<p class=\"wp-block-paragraph\">Conceptually, a digitally planned preoperative registration process works as follows: Patients receive an invitation to complete the digital medical history well in advance of their appointment, on any internet-enabled device. The medical history is adaptive\u2014follow-up questions are automatically asked if pre-existing conditions, medications, or other details affect the risk profile. Based on the collected data, the informational video is customized for each patient. Consent is provided electronically and archived in an audit-proof manner. Medical history results and consent status are returned to the hospital information system (HIS).    <\/p>\n\n<p class=\"wp-block-paragraph\">By the end of this process, the patient is already prepared for the consultation. The medical staff can focus on the areas that actually require clarification\u2014not on the standard information. <\/p>\n\n<p class=\"wp-block-paragraph\">The experience at the Cantonal Hospital of St. Gallen, one of Switzerland\u2019s largest hospitals, demonstrates that this approach works in clinical practice. Following a pilot phase involving video-assisted patient education, over 92% of the participating physicians stated that they would not want to do without it in the future. The platform has been adopted for standard use.  <\/p>\n\n<h3 class=\"wp-block-heading\">What to Look for When Making a Choice<\/h3>\n\n<p class=\"wp-block-paragraph\">Hospitals looking to make structural changes to their preoperative admission process should consider several specific criteria when selecting a solution.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Is the medical history adaptive?<\/strong>  A static questionnaire treats all patients the same\u2014regardless of whether they have a straightforward risk profile or a complex medical condition. Adaptive logic asks only the questions that are relevant based on previous answers. This reduces the time it takes for patients to complete the questionnaire and improves data quality for the healthcare staff providing information.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Is education truly personalized?<\/strong>  Generic informational videos present the same content to all patients, regardless of their medical history, medications, or the specific type of procedure. Personalized information takes each patient\u2019s individual profile into account\u2014thereby further reducing the need for clarification during the consultation. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Is the consent trail complete?<\/strong>  Electronic consent must be archived in an audit-proof manner and be accessible within the context of the HIS file. Discontinuities between digital platforms and paper-based archives pose a particular risk in this regard\u2014both in terms of documentation quality and in the event of liability claims. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>How deep is the KIS integration?<\/strong>  Solutions that do not receive master data from the HIS and do not write back medical history results result in duplicate data entry rather than reducing the workload. The question of which interfaces are supported and how the data flow is specifically managed should be addressed early in the evaluation phase. <\/p>\n\n<h3 class=\"wp-block-heading\">Conclusion<\/h3>\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/medudoc.com\/en\/digital-praeoperative-workflow\/\" data-type=\"page\" data-id=\"1670\">preoperative admission process<\/a> is one of the key factors driving time efficiency, documentation quality, and liability protection in day-to-day hospital operations. The available evidence shows that significant time savings can be achieved\u2014without compromising the quality of patient education or patient satisfaction. <\/p>\n\n<p class=\"wp-block-paragraph\">The path to achieving this does not lie in isolated digitalization initiatives at individual points, but rather in a consistently integrated process: from adaptive medical history-taking and personalized video-assisted patient education to legally compliant electronic consent and the transfer of data to the hospital information system.<\/p>\n\n<p class=\"wp-block-paragraph\">To learn more about the structure of such an end-to-end workflow and the requirements it entails for the hospital, please read our summary of <a href=\"https:\/\/medudoc.com\/en\/digital-praeoperative-workflow\/\" data-type=\"page\" data-id=\"1670\">the preoperative workflow<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Preoperative counseling prior to a scheduled surgery is one of the most fundamental medical procedures. It is legally required, medically necessary, and at the same time one of the most time-consuming parts of the preoperative admission process. In many hospitals, this process still largely takes place the same way it did twenty years ago: handwritten&#8230;<\/p>\n","protected":false},"author":2,"featured_media":2176,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[40],"tags":[55,35,75],"class_list":["post-2177","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","tag-anamnesis","tag-patient-education","tag-workflow"],"taxonomy_info":{"category":[{"value":40,"label":"General"}],"post_tag":[{"value":55,"label":"Anamnesis"},{"value":35,"label":"Patient Education"},{"value":75,"label":"Workflow"}]},"featured_image_src_large":["https:\/\/medudoc.com\/wp-content\/uploads\/2026\/06\/aerztliche-patientenaufnahme-1024x538.jpg",1024,538,true],"author_info":{"display_name":"Martin Kl\u00e4ssner","author_link":"https:\/\/medudoc.com\/en\/author\/klma\/"},"comment_info":0,"category_info":[{"term_id":40,"name":"General","slug":"general","term_group":0,"term_taxonomy_id":40,"taxonomy":"category","description":"","parent":0,"count":14,"filter":"raw","cat_ID":40,"category_count":14,"category_description":"","cat_name":"General","category_nicename":"general","category_parent":0}],"tag_info":[{"term_id":55,"name":"Anamnesis","slug":"anamnesis","term_group":0,"term_taxonomy_id":55,"taxonomy":"post_tag","description":"","parent":0,"count":6,"filter":"raw"},{"term_id":35,"name":"Patient Education","slug":"patient-education","term_group":0,"term_taxonomy_id":35,"taxonomy":"post_tag","description":"Here you will find an overview of all relevant articles on Digital Patient Education - also in connection with educational videos.","parent":0,"count":12,"filter":"raw"},{"term_id":75,"name":"Workflow","slug":"workflow","term_group":0,"term_taxonomy_id":75,"taxonomy":"post_tag","description":"","parent":0,"count":3,"filter":"raw"}],"_links":{"self":[{"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/posts\/2177","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/comments?post=2177"}],"version-history":[{"count":2,"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/posts\/2177\/revisions"}],"predecessor-version":[{"id":2215,"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/posts\/2177\/revisions\/2215"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/media\/2176"}],"wp:attachment":[{"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/media?parent=2177"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/categories?post=2177"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medudoc.com\/en\/wp-json\/wp\/v2\/tags?post=2177"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}