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Framework for understanding missed perioperative recommendations
Framework for understanding missed perioperative recommendations
Level
Barrier
Unintentional missed perioperative recommendations
Individual level
Lack of knowledge of the PAC visit note
Lack of routine for reviewing PAC visit notes
Competing time demands
Systems level
Lack of role clarity
No process for double-checking PAC visit recommendations
Intentional missed perioperative recommendations
User error
Lack of ability to implement recommendations
Lack of knowledge of evidence or guidelines
Lack of adaptability (appropriate modifications to care plan)
Changed patient status requiring modification of care plan
PAC: pre-admission clinic.
Adapted from: Flemons K, Bosch M, Coakeley S, et al. Barriers and facilitators of following perioperative internal medicine recommendations by surgical teams: a sequential, explanatory mixed-methods study. Perioper Med (Lond) 2022; 11:2. Copyright © 2022 The Authors, published by BioMed Central Ltd. Available at:
https://perioperativemedicinejournal.biomedcentral.com/articles/10.1186/s13741-021-00236-x
(Accessed on May 25, 2022). Reproduced under the terms of the
Creative Commons Attribution License 4.0
.
Graphic 138751 Version 1.0