• A&A practice · Jun 2019

    Improving Preoperative Completion of Advanced Care Planning Documents in Patients With Expected Postoperative Intensive Care Unit Stay.

    • Richard D Urman, Caroline S Gross, Nicholas Sadovnikoff, and Angela M Bader.
    • From the Department of Anesthesiology, Perioperative Medicine and Pain Medicine, Brigham Health, Boston, Massachusetts.
    • A A Pract. 2019 Jun 15; 12 (11): 455-458.

    AbstractDirected discussion about advanced care planning in the preoperative setting is often lacking. We implemented an educational intervention pilot to increase the number of high-risk patients who have health care proxy and advanced directives documents completed. We developed a novel short video describing the advanced care planning process and the intensive care setting, encouraging patients to have conversations about advanced care planning. Survey results showed that majority of patients felt the intervention increased their knowledge about advanced care planning (65%-70%) and that the video raised some topics worth discussing with family and health care providers. This intervention is scalable and could improve documentation and quality of care.

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