Re-designing the pathway to surgery: better care and added value
Abstract The case for radical pathway re-design before surgery is in part driven by healthcare system pressures which are in turn the result of continuously rising demand in the face of tightly constrained resources. Such circumstances tend to drive revolutionary, rather than incremental, change. Th...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2017-06-01
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| Series: | Perioperative Medicine |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13741-017-0065-4 |
| _version_ | 1811301882745847808 |
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| author | Michael P. W. Grocott James O. M. Plumb Mark Edwards Imogen Fecher-Jones Denny Z. H. Levett |
| author_facet | Michael P. W. Grocott James O. M. Plumb Mark Edwards Imogen Fecher-Jones Denny Z. H. Levett |
| author_sort | Michael P. W. Grocott |
| collection | DOAJ |
| description | Abstract The case for radical pathway re-design before surgery is in part driven by healthcare system pressures which are in turn the result of continuously rising demand in the face of tightly constrained resources. Such circumstances tend to drive revolutionary, rather than incremental, change. The current approach to preoperative assessment, that typically occurs in the weeks leading up to surgery, but is all too often only a few days before surgery, results in a lost opportunity for perioperative physicians to improve patient care. Re-engineering this process based on a patient-focused, pathway-driven vision of perioperative medicine offers a means of exploiting this opportunity. This review explores drivers for change, the opportunity offered by pathway re-design, and suggests a variety of strategies to add value in the preoperative pathway, each of which is facilitated by early engagement between perioperative physician and patient: collaborative decision-making, collaborative behavioural change, targeted comorbidity management as well as expectation management and psychological preparation for surgery including surgery schools. |
| first_indexed | 2024-04-13T07:17:59Z |
| format | Article |
| id | doaj.art-7807279cc7c848e3b96d3e35c02b43b3 |
| institution | Directory Open Access Journal |
| issn | 2047-0525 |
| language | English |
| last_indexed | 2024-04-13T07:17:59Z |
| publishDate | 2017-06-01 |
| publisher | BMC |
| record_format | Article |
| series | Perioperative Medicine |
| spelling | doaj.art-7807279cc7c848e3b96d3e35c02b43b32022-12-22T02:56:42ZengBMCPerioperative Medicine2047-05252017-06-01611710.1186/s13741-017-0065-4Re-designing the pathway to surgery: better care and added valueMichael P. W. Grocott0James O. M. Plumb1Mark Edwards2Imogen Fecher-Jones3Denny Z. H. Levett4Anaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation TrustAnaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation TrustAnaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation TrustAnaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation TrustAnaesthesia and Critical Care Research Unit, University Hospital Southampton NHS Foundation TrustAbstract The case for radical pathway re-design before surgery is in part driven by healthcare system pressures which are in turn the result of continuously rising demand in the face of tightly constrained resources. Such circumstances tend to drive revolutionary, rather than incremental, change. The current approach to preoperative assessment, that typically occurs in the weeks leading up to surgery, but is all too often only a few days before surgery, results in a lost opportunity for perioperative physicians to improve patient care. Re-engineering this process based on a patient-focused, pathway-driven vision of perioperative medicine offers a means of exploiting this opportunity. This review explores drivers for change, the opportunity offered by pathway re-design, and suggests a variety of strategies to add value in the preoperative pathway, each of which is facilitated by early engagement between perioperative physician and patient: collaborative decision-making, collaborative behavioural change, targeted comorbidity management as well as expectation management and psychological preparation for surgery including surgery schools.http://link.springer.com/article/10.1186/s13741-017-0065-4Perioperative medicineSurgeryAnaesthesiaSurgical pathwayRe-designSurgery school |
| spellingShingle | Michael P. W. Grocott James O. M. Plumb Mark Edwards Imogen Fecher-Jones Denny Z. H. Levett Re-designing the pathway to surgery: better care and added value Perioperative Medicine Perioperative medicine Surgery Anaesthesia Surgical pathway Re-design Surgery school |
| title | Re-designing the pathway to surgery: better care and added value |
| title_full | Re-designing the pathway to surgery: better care and added value |
| title_fullStr | Re-designing the pathway to surgery: better care and added value |
| title_full_unstemmed | Re-designing the pathway to surgery: better care and added value |
| title_short | Re-designing the pathway to surgery: better care and added value |
| title_sort | re designing the pathway to surgery better care and added value |
| topic | Perioperative medicine Surgery Anaesthesia Surgical pathway Re-design Surgery school |
| url | http://link.springer.com/article/10.1186/s13741-017-0065-4 |
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