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Creating a Pathway for Multidisciplinary Shared Decision-Making to Improve Communication During Preoperative
Timothy D Quinn1, Piotr Wolczynski2, Raymond Sroka1
1Department of Anesthesiology, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, 77 Goodell Street, Suite 550, Buffalo, NY 14203, USA; Department of Anesthesiology, Critical Care and Pain Medicine, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263, USA.
Anesthesiology Clinics
|November 5, 2018
Summary
Shared decision-making (SDM) in surgery improves care by engaging patients and clinicians. Overcoming barriers like language and education enhances patient understanding and decision-making quality.
Area of Science:
- Perioperative Medicine
- Surgical Care Quality
- Health Communication
Background:
- Shared decision-making (SDM) is crucial for high-quality surgical care.
- Barriers such as language, age, and education can impede effective patient decision-making.
- Multidisciplinary input pre-surgery can enhance care quality.
Purpose of the Study:
- To demonstrate the successful implementation of a shared decision-making pathway.
- To leverage preoperative anesthesia evaluations for improved surgical patient care.
- To address and overcome existing barriers to SDM in surgical settings.
Main Methods:
- Implementation of a structured pathway for high-risk surgical patients.
- Integration of multidisciplinary team involvement in preoperative evaluations.
- Utilizing the preoperative anesthesia evaluation as a key engagement point.
Main Results:
- The implemented pathway successfully facilitated shared decision-making.
- Preoperative anesthesia evaluations proved effective in engaging patients.
- Obstacles to SDM were identified and addressed within the pathway.
Conclusions:
- A multidisciplinary, preoperative anesthesia-led approach can enhance shared decision-making.
- Leveraging existing clinical pathways can overcome SDM barriers in surgical care.
- Improved patient engagement leads to better surgical care outcomes.
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