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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
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.
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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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