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Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
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Related Experiment Video

Updated: Jun 13, 2025

E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
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Using Systems Engineering and Implementation Science to Design an Implementation Package for Preoperative

Julia R Berian1,2, Margaret L Schwarze1, Nicole E Werner3

  • 1Department of Surgery, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United States.

JMIR Research Protocols
|September 9, 2024
PubMed
Summary

This study protocol aims to develop an adaptable, user-centered preoperative comprehensive geriatric assessment (pCGA) implementation package. This will improve surgical care for older adults by addressing implementation barriers and optimizing perioperative processes.

Keywords:
aging researchimplementation scienceparticipatory designrandomized controlled trialsurgerysystems engineeringuser-centered design

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Area of Science:

  • Geriatric Medicine
  • Implementation Science
  • Health Services Research

Background:

  • Older adults face higher risks of postoperative complications, necessitating tailored preoperative care.
  • A preoperative comprehensive geriatric assessment (pCGA) is recommended to mitigate risks and optimize care for this vulnerable population.
  • Current guidelines recommend pCGA, but limited implementation guidance hinders widespread adoption.

Purpose of the Study:

  • To design an adaptable, user-centered pCGA implementation package for older adults undergoing major abdominal surgery.
  • To address the gap in strategic guidance for pCGA implementation across diverse healthcare settings.

Main Methods:

  • Utilizing systems engineering and implementation science frameworks.
  • Employing user-centered design, involving healthcare providers, patients, and caregivers.
  • Phased approach: process mapping, co-design of the implementation package, and pilot testing.

Main Results:

  • Generation of a detailed pCGA process map.
  • Development of an adaptable, user-centered pCGA implementation package for feasibility testing.
  • Acquisition of preliminary pilot data on implementation and effectiveness.

Conclusions:

  • The study protocol is designed to yield an optimized pCGA implementation package.
  • Expected results will inform future multisite trials and improve perioperative care for older surgical patients.