Implementation of a surgical prehabilitation pathway at a tertiary surgical centre during a global pandemic

Wong, Heung-Yan; Starsmore, Lorna; Tetlow, Nicholas; Dewar, Amy; Chapman, Olivia; Lipman, Jessica; Pidding, James; Montanheiro, Kassie; Bellin, Uta; Whittle, John

doi:10.1016/j.bjao.2022.100069

Cited by 2 publications

(2 citation statements)

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“…Although literature is dense on the importance of preoperative information sharing to reduce preoperative anxiety 28 and increase parent and patient satisfaction, 29 most information described in the literature refers to medical information, notably anesthesia. 30 - 32 To our knowledge, data is scarce about the importance of sharing practical and non-medical information in preoperative phone calls. Nonetheless, our preliminary results from responsible adult interviews showed that the sharing of such information during preoperative phone calls, although such information is available elsewhere, would have reduced the burden of the surgery process, notably for parents living far from the establishments.…”

Section: Discussionmentioning

confidence: 99%

Inter-Establishment Complex Musculoskeletal Care Pathways in Montreal: Timeline of a Collaboration Involving a Research Team Within a Continuous Quality Improvement Initiative

Beauséjour,

Sasseville,

Vigné

et al. 2024

Health�Serv�Insights

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Children and adolescents with complex musculoskeletal conditions may receive health care that requires at least 1 transfer between 4 specialized pediatric establishments in the Montreal region (Québec, Canada). This may result in challenges in navigating the system. A collaborative approach, aiming to make the inter-establishment care pathways seamless and to improve the integration of musculoskeletal health services, brought together key stakeholders including a research team. The aim of this paper is to describe the timeline of the collaborative approach’s key milestones and activities and, more specifically, to describe the context, process, and outputs of the involvement of researchers in support of a continuous quality improvement project based on an integrated approach. The descriptive timeline was constructed from a qualitative document analysis of the project-related gray literature (n = 80 documents) and was validated and interpreted with key stakeholders. The results showed how the collaborative project was set up and operated, as well as what solutions were developed and implemented. The strategies on how the research team was involved in the integrated approach in addition to its research activities were also described. Conclusions suggest practice recommendations for creating change processes by integrating research, service evaluation and clinical audit into quality improvement projects.

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Section: Discussionmentioning

confidence: 99%

Inter-Establishment Complex Musculoskeletal Care Pathways in Montreal: Timeline of a Collaboration Involving a Research Team Within a Continuous Quality Improvement Initiative

Beauséjour,

Sasseville,

Vigné

et al. 2024

Health�Serv�Insights

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“…Although there are well-documented benefits to pre-habilitation and perioperative medicine [ 16 , 23 ], hospital systems are complex. For this multimodal, protocol-based practice to be implemented, a dedicated team approach requiring multiple members of the MDT is essential; thus, innovation of the health service is required [ 24 ]. Despite the current crisis of understaffing and stretched budgets within many healthcare systems, there are centres that have reported successfully implementing key components of evidence-based protocols with good results [ 16 , 24 ].…”

Section: Perioperative Medicinementioning

confidence: 99%

Post-Operative Care of the Cancer Patient: Emphasis on Functional Recovery, Rapid Rescue, and Survivorship

Morrison-Jones,

West

2023

Current Oncology

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A cancer diagnosis and its subsequent treatments are life-changing events, impacting the patient and their family. Treatment options available for cancer care are developing at pace, with more patients now able to achieve a cancer cure. This is achieved through the development of novel cancer treatments, surgery, and modern imaging, but also as a result of better understanding treatment/surgical trauma, rescue after complications, perioperative care, and innovative interventions like pre-habilitation, enhanced recovery, and enhanced post-operative care. With more patients living with and beyond cancer, the role of survivorship and quality of life after cancer treatment is gaining importance. The impact cancer treatments can have on patients vary, and the "scars" treatments leave are not always visible. To adequately support patients through their cancer journeys, we need to look past the short-term interactions they have with medical professionals and encourage them to consider their lives after cancer, which often is not a reflection of life before a cancer diagnosis.

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Implementation of a surgical prehabilitation pathway at a tertiary surgical centre during a global pandemic

Cited by 2 publications

References 0 publications

Inter-Establishment Complex Musculoskeletal Care Pathways in Montreal: Timeline of a Collaboration Involving a Research Team Within a Continuous Quality Improvement Initiative

Inter-Establishment Complex Musculoskeletal Care Pathways in Montreal: Timeline of a Collaboration Involving a Research Team Within a Continuous Quality Improvement Initiative

Post-Operative Care of the Cancer Patient: Emphasis on Functional Recovery, Rapid Rescue, and Survivorship

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