Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Feb 1;36(1):57-60.
doi: 10.1097/ACO.0000000000001213. Epub 2022 Dec 6.

Implementing change in the care of the complex cardiac patient

Ioana A Rus  1 , Molly Kudela, Giancarlo Suffredini, Promise T Ariyo, Nadia B Hensley, James H Abernathy 3rd
Affiliations
Review

Implementing change in the care of the complex cardiac patient

Ioana A Rus et al. Curr Opin Anaesthesiol. .

Abstract

Purpose of review: Development of advanced and minimally invasive surgical procedures is providing treatment opportunities to older and higher risk patients. This has also led to highly specialized physicians and a need for better communication and planning with the patients and within the care team.

Recent findings: In the field of cardiac surgery, the heart team model has been advocated and implemented as a vehicle to optimize decision making prior to procedure, care during the procedure and in the recovery process. The goal is to provide a treatment path that prioritizes the patient's goals and to anticipate and minimize complications.

Summary: In this review, we discuss the concepts of shared decision making (SDM) and implementation science in the context of the complex cardiac patient. We also review the most recent evidence for their use in cardiac surgery. We argue that a team model not only bridges knowledge gaps but provides a multidisciplinary environment for the practice of SDM and implementation of evidence-based practices. Be believe this will provide patients with a better experience as they navigate their care and improve their medical outcomes as well.

PubMed Disclaimer

References

    1. The International Surgical Outcomes Study Group. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth 2016; 117:601–609.
    1. Balas EA, Boren SA. Managing clinical knowledge for healthcare improvement Yearbook of Medical Informatics. 2000; Stuttgart: Schattauer, 65–70.
    1. Morris ZS, Wooding S, Grant J. The answer is 17 years, what is the question: understanding time lags in translational research. J R Soc Med 2011; 104:510–520.
    1. Bauer MS, Damschroder L, Hagedorn H, et al. An introduction to implementation science for the nonspecialist. BMC Psychol 2015; 3:32.
    1. QUERI's Mission, Vision, Values. (2022, March 8). Retrieved October 20, 2022, from https://www.queri.research.va.gov/about/default.cfm .