• Anesthesiology clinics · Dec 2018

    Review

    Creating a Pathway for Multidisciplinary Shared Decision-Making to Improve Communication During Preoperative Assessment.

    • Timothy D Quinn, Piotr Wolczynski, Raymond Sroka, and Richard D Urman.
    • Department 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. Electronic address: Timothy.Quinn@roswellpark.org.
    • Anesthesiol Clin. 2018 Dec 1; 36 (4): 653-662.

    AbstractShared decision-making (SDM) is essential for high-quality surgical care. Barriers to SDM exist in clinical practice but there is evidence these obstacles can be overcome. SDM requires clinician and patient engagement. Though patients may indicate understanding, deficits in decision making may persist based on language, age, or educational barriers. Multidisciplinary decision-making before surgery is an opportunity for anesthesiologists and other perioperative professionals to improve surgical care. The authors present an example of a successfully implemented pathway for high-risk surgical patients at a tertiary care center, leveraging the preoperative anesthesia evaluation.Copyright © 2018 Elsevier Inc. All rights reserved.

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