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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
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Adaptation and Implementation of a Transitional Care Protocol for Patients Undergoing Complex Abdominal Surgery
Joint Commission Journal on Quality and Patient Safety
|August 12, 2018
Summary
A new surgery-specific transitional care protocol (sC-TraC) was developed for major abdominal surgery patients. This evidence-based approach achieved 100% patient satisfaction, demonstrating its effectiveness in improving surgical care transitions.
Area of Science:
- Healthcare Management
- Surgical Patient Care
- Transitional Care Models
Background:
- Existing transitional care protocols effectively reduce readmissions for medical patients.
- No evidence-based protocols were available for surgical patients, particularly those discharged home after major abdominal surgery.
Purpose of the Study:
- To adapt an existing transitional care protocol for medical patients to meet the specific needs of surgical patients discharged home.
- To develop an evidence-based, surgery-specific transitional care protocol (sC-TraC).
Main Methods:
- The Coordinated-Transitional Care (C-TraC) protocol was adapted using the Replicating Effective Programs (REP) model.
- The adapted protocol (sC-TraC) specifically addressed surgical issues like nutrition, fever, ostomy output, and wound appearance.
- Patient satisfaction was assessed via monthly phone surveys.
Main Results:
- Survey responders reported 100% overall satisfaction with the adapted transitional care program.
- Iterative adaptations were made to phone call timing, inclusion/exclusion criteria, and discharge instructions post-launch.
Conclusions:
- The adaptable surgery-specific transitional care protocol (sC-TraC) shows high patient satisfaction.
- sC-TraC methodology can be implemented in low-resource settings and potentially leverage existing transitional care infrastructure in VA hospitals.
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