Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...

Patient-centered Care

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Over One-Third of Surgical Patients Report Inadequate Shared Decision-Making: Opportunities for Improvement From the ACS NSQIP PROMs Project.

Annals of surgery·2025

Same author

Evaluating Initial Site Visit Pass Rate Across American College of Surgeons Accreditation Programs.

Journal of the American College of Surgeons·2025

Same author

Influence of neighborhood-level social risk factors on quality of care and outcomes for diverticulitis patients.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract·2025

Same author

Continuing the Conversation: Methodologies for Handling Multiple CPT Codes in NSQIP Benchmarking.

Journal of the American College of Surgeons·2025

Same author

ACS NSQIP Risk Calculator Performance Across Multiple Domains of Operative Risk and Risk-associated Features.

Annals of surgery·2025

Same author

Improved American College of Surgeons NSQIP Hospital Benchmarking with Risk Adjustment for Many CPT Codes Rather Than Just the Principal Code.

Journal of the American College of Surgeons·2025

Search research articles

Related Experiment Video

Updated: May 27, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Quality improvement pilot program for vulnerable elderly surgical patients.

Jennifer Cronin¹, Masha Livhits, Cheryl Mercado

¹Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California 90095-6904, USA.

The American Surgeon

|December 1, 2011

Summary

This summary is machine-generated.

Implementing a quality improvement program for elderly surgical patients significantly improved their functional status 30 days after discharge. This targeted care approach is feasible and beneficial for older adults undergoing surgery.

Related Experiment Videos

Last Updated: May 27, 2026

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

The Participant-Reported Implementation Update and Score (PRIUS): A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

Area of Science:

Geriatric Surgery
Quality Improvement in Healthcare
Surgical Patient Outcomes

Background:

The elderly population undergoing surgery is increasing.
Elderly patients often have more comorbidities and reduced physiological reserve.
Current surgical care may not adequately address the unique needs of older adults.

Purpose of the Study:

To implement and evaluate a quality improvement pilot program for elderly surgical patients.
To assess the impact of an elderly-specific intervention on functional status and postoperative outcomes.
To determine the feasibility of individualizing care for geriatric surgical patients.

Main Methods:

Prospective enrollment of patients aged 65+ undergoing inpatient general or vascular surgery.
Preoperative assessment including the Vulnerable Elder Survey (VES) and polypharmacy evaluation.
Intervention included an elderly-specific postoperative order set and targeted consult recommendations (physical therapy, home health, geriatrics).

Main Results:

The elderly-specific order set was utilized in 71% of the postintervention group.
No significant differences in physical therapy, geriatric, or home health nursing consult rates between groups.
The postintervention group demonstrated significantly improved functional status at postoperative Day 30 (P < 0.01).

Conclusions:

Individualized care for elderly surgical patients is feasible.
A quality improvement program targeting geriatric surgical needs may enhance postoperative functional status.
Preliminary data suggest potential for improved outcomes in older surgical patients with tailored interventions.