Preoperative Optimization of Patients Undergoing Orthopedic Foot and Ankle Surgery: A Single Institution Cohort.

IF 0.9 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES
Journal for Healthcare Quality Pub Date : 2025-02-01 Epub Date: 2025-01-28 DOI:10.1097/JHQ.0000000000000464
Julia Kessel, Rebecca J Cleveland, Trapper Lalli, Joshua Tennant, Jennifer Woody
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引用次数: 0

Abstract

Introduction: Careful preoperative patient preparation for orthopedic foot and ankle surgery can help manage postoperative expectations and avoid suboptimal outcomes. Our quality improvement initiative aimed to reduce emergency department (ED) visits within 30 days postsurgery by enhancing preoperative education.

Methods: We focused on four outcomes associated with receipt of written preoperative information: (1) related ED visits within 30 days of surgery, (2) average number of patient portal messages, (3) phone calls initiated by patients, and (4) staff team experience survey results. All patients undergoing foot and ankle surgery by two surgeons at one institution from July 2023 to January 2024 were included.

Results: Through a series of six plan, do, study, act (PDSA) cycles lasting 1 month each, we evaluated 431 patients (55.9% female, 61.4% White, 92.4% English speakers). Patients who received written preoperative information were significantly less likely to present to the ED for related concerns within 30 days of surgery compared with those receiving no written preoperative information ( p = .0068). In addition, we observed fewer portal messages and phone calls from patients receiving written preoperative information ( p = .3644, p = .0541).

Conclusions: An increase in the use of standardized written preoperative information yields decreased ED visits and frequency of inquiries from patients through portal messages and phone calls.

骨科足踝关节手术患者的术前优化:单一机构队列。
导言:骨科足部和踝关节手术的术前准备可以帮助患者控制术后预期,避免次优结果。我们的质量改进计划旨在通过加强术前教育,减少术后30天内急诊科(ED)的就诊。方法:我们重点关注与术前书面信息接收相关的四个结果:(1)手术后30天内相关的急诊科就诊次数,(2)患者门户信息的平均数量,(3)患者发起的电话,以及(4)工作人员团队经验调查结果。研究纳入了从2023年7月至2024年1月在同一家机构由两名外科医生进行足部和踝关节手术的所有患者。结果:通过六个计划、行动、研究、行动(PDSA)周期,每个周期持续1个月,我们评估了431例患者(55.9%为女性,61.4%为白人,92.4%为英语)。术前接受书面信息的患者与术前未接受书面信息的患者相比,在手术30天内因相关问题到急诊科就诊的可能性显著降低(p = 0.0068)。此外,我们观察到收到书面术前信息的患者的门户信息和电话较少(p = .3644, p = .0541)。结论:标准化的术前书面信息的使用增加,减少了急诊科的访问量和患者通过门户信息和电话询问的频率。
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来源期刊
Journal for Healthcare Quality
Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
0.00%
发文量
59
期刊介绍: The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform
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