• Anaesth Intensive Care · Nov 2020

    Perioperative shared decision-making in the Bay of Plenty, New Zealand: Audit results from a complex decision pathway quality improvement initiative using a structured communication tool.

    • Heidi C Omundsen, Renee L Franklin, Vicki L Higson, Mark S Omundsen, and Jeremy I Rossaak.
    • Department of Anaesthesia, Bay of Plenty District Health Board, Tauranga, New Zealand.
    • Anaesth Intensive Care. 2020 Nov 1; 48 (6): 473-476.

    AbstractPatients presenting for elective surgery in the Bay of Plenty area in New Zealand are increasingly elderly with significant medical comorbidities. For these patients the risk-benefit balance of undergoing surgery can be complex. We recognised the need for a robust shared decision-making pathway within our perioperative medicine service. We describe the setup of a complex decision pathway within our district health board and report on the audit data from our first 49 patients. The complex decision pathway encourages surgeons to identify high-risk patients who will benefit from shared decision-making, manages input from multiple specialists as needed with excellent communication between those specialists, and provides a patient-centred approach to decision-making using a structured communication tool.

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