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Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care
AIMS: To explore the feasibility of recruiting surgical oncology patients and implementing a surgical integrated discharge (SID) programme led by advanced practice providers (APP). BACKGROUND: Burden of illness and complexity of treatment regimen makes it challenging for surgical oncology patients t...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047346/ https://www.ncbi.nlm.nih.gov/pubmed/27708827 http://dx.doi.org/10.1002/nop2.52 |
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author | Noyes, Katia Baack‐Kukreja, Janet Messing, Edward M. Schoeniger, Luke Galka, Eva Pan, Wei Xueya, Cai Fleming, Fergal J. Monson, John RT Mohile, Supriya G. Francone, Todd |
author_facet | Noyes, Katia Baack‐Kukreja, Janet Messing, Edward M. Schoeniger, Luke Galka, Eva Pan, Wei Xueya, Cai Fleming, Fergal J. Monson, John RT Mohile, Supriya G. Francone, Todd |
author_sort | Noyes, Katia |
collection | PubMed |
description | AIMS: To explore the feasibility of recruiting surgical oncology patients and implementing a surgical integrated discharge (SID) programme led by advanced practice providers (APP). BACKGROUND: Burden of illness and complexity of treatment regimen makes it challenging for surgical oncology patients to participate in research. Surgical oncology nurses may have the necessary expertise to overcome this problem. DESIGN: Controlled longitudinal prospective observational study. METHODS: The SID programme included multidisciplinary care coordination, regular communication among APPs and proactive postdischarge follow‐up. Administrative databases were used to identify matching historical controls (n = 113) and evaluate programme outcomes. RESULTS: Patient enrolment was 84%. The main challenges for the programme implementation included incompatible health information systems among care settings, variation in care processes among hospital units and need for provider behaviour change. CONCLUSIONS: Most surgical oncology patients are willing to participate in outcomes programmes when contacted by familiar clinical personnel but programme implementation requires leadership support, communication among care teams and training and infrastructure. |
format | Online Article Text |
id | pubmed-5047346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-50473462016-10-05 Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care Noyes, Katia Baack‐Kukreja, Janet Messing, Edward M. Schoeniger, Luke Galka, Eva Pan, Wei Xueya, Cai Fleming, Fergal J. Monson, John RT Mohile, Supriya G. Francone, Todd Nurs Open Research Articles AIMS: To explore the feasibility of recruiting surgical oncology patients and implementing a surgical integrated discharge (SID) programme led by advanced practice providers (APP). BACKGROUND: Burden of illness and complexity of treatment regimen makes it challenging for surgical oncology patients to participate in research. Surgical oncology nurses may have the necessary expertise to overcome this problem. DESIGN: Controlled longitudinal prospective observational study. METHODS: The SID programme included multidisciplinary care coordination, regular communication among APPs and proactive postdischarge follow‐up. Administrative databases were used to identify matching historical controls (n = 113) and evaluate programme outcomes. RESULTS: Patient enrolment was 84%. The main challenges for the programme implementation included incompatible health information systems among care settings, variation in care processes among hospital units and need for provider behaviour change. CONCLUSIONS: Most surgical oncology patients are willing to participate in outcomes programmes when contacted by familiar clinical personnel but programme implementation requires leadership support, communication among care teams and training and infrastructure. John Wiley and Sons Inc. 2016-05-10 /pmc/articles/PMC5047346/ /pubmed/27708827 http://dx.doi.org/10.1002/nop2.52 Text en © 2016 The Authors. Nursing Open published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution (http://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Noyes, Katia Baack‐Kukreja, Janet Messing, Edward M. Schoeniger, Luke Galka, Eva Pan, Wei Xueya, Cai Fleming, Fergal J. Monson, John RT Mohile, Supriya G. Francone, Todd Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care |
title | Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care |
title_full | Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care |
title_fullStr | Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care |
title_full_unstemmed | Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care |
title_short | Surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care |
title_sort | surgical readmissions: results of integrating pre‐, peri‐ and postsurgical care |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5047346/ https://www.ncbi.nlm.nih.gov/pubmed/27708827 http://dx.doi.org/10.1002/nop2.52 |
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