{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T05:28:03Z","timestamp":1730870883701,"version":"3.28.0"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"01","funder":[{"name":"Hennepin Healthcare Department of Medicine (DOM) seed grant"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n               Objectives\u2003The number of surgeries performed in the United States has increased over the past two decades, with a shift to the ambulatory setting. Perioperative complications and mortality pose significant health care burdens. Inadequate preoperative assessment and documentation contribute to communication failure and poor patient outcomes. The aim of this quality improvement project was to design and implement a preoperative evaluation documentation template that not only improved communication during the perioperative pathway but also enhanced the overall user experience.<\/jats:p><jats:p>\n               Methods\u2003We implemented a revamped evidence-based documentation template in the electronic medical records of a health care organization across three internal medicine clinics on the downtown campus and seven satellite family medicine clinics. A pre- and postintervention design was used to assess the template utilization rate and clinician satisfaction.<\/jats:p><jats:p>\n               Results\u2003The preoperative template utilization rate increased from 51.2% at baseline to 66.5% after the revamped template \u201cwent live\u201d (p\u2009&lt;\u20090.001). Clinician satisfaction with the preoperative documentation template also significantly increased (30.6 vs. 80.0%, p\u2009&lt;\u20090.001).<\/jats:p><jats:p>\n               Conclusion\u2003Adopting a user-friendly, evidence-based documentation template can enhance the standardization of preoperative evaluation documentation and reduce the documentation burden.<\/jats:p>","DOI":"10.1055\/s-0044-1779021","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:11:23Z","timestamp":1707955883000},"page":"121-128","source":"Crossref","is-referenced-by-count":0,"title":["An Evidence-based Preoperative Evaluation Documentation Template Improves Perioperative Communication"],"prefix":"10.1055","volume":"15","author":[{"given":"Xin","family":"Piao","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian H.","family":"Imdieke","sequence":"additional","affiliation":[{"name":"Department of Medicine, Hennepin Healthcare, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha A.","family":"Sommerness","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Minnesota, Minneapolis, Minnesota, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepti","family":"Pandita","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of California, Irvine, California, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,2,14]]},"reference":[{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1186\/s12893-021-01392-z","article-title":"Postoperative complications: an observational study of trends in the United States from 2012 to 2018","volume":"21","author":"E E Dencker","year":"2021","journal-title":"BMC Surg"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1093\/bja\/aew302","article-title":"What is the rationale for preoperative medical evaluations? A closer look at surgical risk and common terminology","volume":"117","author":"K R Riggs","year":"2016","journal-title":"Br J Anaesth"},{"issue":"08","key":"ref6","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1016\/j.ijnurstu.2011.05.009","article-title":"The role of documents and documentation in communication failure across the perioperative pathway. A literature review","volume":"48","author":"S Braaf","year":"2011","journal-title":"Int J Nurs Stud"},{"issue":"03","key":"ref7","first-page":"698","article-title":"A retrospective analysis demonstrates that a failure to document key comorbid diseases in the anesthesia preoperative evaluation associates with increased length of stay and mortality","volume":"133","author":"I S Hofer","year":"2021","journal-title":"Anesth Analg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"819","DOI":"10.4103\/aer.AER_131_18","article-title":"Clinical audit on the practice of documentation at preanesthetic evaluation in a specialized university hospital","volume":"12","author":"Y B Woldegerima","year":"2018","journal-title":"Anesth Essays Res"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/j.jopan.2016.08.016","article-title":"Compliance is contagious: using informatics methods to measure the spread of a documentation standard from a 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its past and its future in health care","volume":"43","author":"R J Holden","year":"2010","journal-title":"J Biomed Inform"},{"issue":"22","key":"ref16","doi-asserted-by":"crossref","first-page":"e77","DOI":"10.1016\/j.jacc.2014.07.944","article-title":"2014 ACC\/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology\/American Heart Association Task Force on practice guidelines","volume":"64","author":"L A Fleisher","year":"2014","journal-title":"J Am Coll Cardiol"},{"issue":"06","key":"ref17","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1213\/ANE.0000000000001834","article-title":"Measuring and improving the quality of preprocedural assessments","volume":"124","author":"F Manji","year":"2017","journal-title":"Anesth Analg"},{"issue":"03","key":"ref18","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1177\/0163278713496425","article-title":"Enhancing surveys of health care professionals: a meta-analysis of techniques to improve response","volume":"36","author":"Y I Cho","year":"2013","journal-title":"Eval Health Prof"}],"container-title":["Applied Clinical 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