The effect of family-centered care on unplanned emergency room visits, hospital readmissions and intensive care admissions after surgery: a root cause analysis from a prospective multicenter study in the Netherlands
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View abstract on PubMed
Summary
This summary is machine-generated.Involving family caregivers in post-surgery care for major abdominal cancer patients did not increase unplanned events. This family involvement program (FIP) appears safe and feasible, with no identified safety issues from caregiver involvement.
Area Of Science
- Oncology
- Surgical Care
- Patient Safety
Background
- Family-centered care can optimize transitional care for major abdominal cancer surgery patients.
- The safety implications of involving family caregivers in patient care remain under investigation.
- This study assessed patient safety concerning unplanned events in a family involvement program (FIP).
Purpose Of The Study
- To evaluate the safety of involving family caregivers in the healthcare of patients undergoing major abdominal cancer surgery.
- To examine the root causes of unplanned events in patients participating in a FIP.
- To compare unplanned events between patients receiving care from family caregivers and professional at-home care.
Main Methods
- Secondary analysis of a prospective cohort study (April 2019-May 2022) in the Netherlands.
- Root cause analysis of unplanned events using the PRISMA system for the intervention group (FIP).
- Comparison of unplanned events between family caregiver and professional at-home care groups using Mann-Whitney U test.
Main Results
- Of 152 FIP participants, 68 experienced unplanned events (112 events, 145 root causes).
- Most root causes (75%) were patient-related; no causes were linked to inadequate family caregiver healthcare.
- No statistically significant difference in unplanned events between family caregiver and professional at-home care groups.
Conclusions
- Unplanned emergency room visits and hospital readmissions are not linked to family caregiver involvement in surgical follow-up.
- Postoperative care by trained family caregivers was not associated with increased unplanned adverse events.
- Active family involvement by trained caregivers in postoperative care is safe and feasible for major abdominal surgery patients.
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