title: Using implementation science to help integrate preoperative evidence-based measures into practice for vascular surgery patients.
abstract: The preoperative workup is a necessary and crucial evaluation for patients undergoing major vascular surgery. It is important to assess for likelihood of perioperative adverse events and then implement evidence-based measures to reduce identified medical comorbidities and improve the quality of patient care and outcomes after surgery. Although there are numerous opportunities to implement evidence-based processes during the preoperative period, there are many barriers that can prevent vascular surgeons from achieving these goals. This review will discuss how an implementation science-based approach can be used by members of the vascular surgery team to identify appropriate preoperative evidence-based interventions for diverse practice settings and to overcome barriers and allow integration of these interventions as part of the routine preoperative workup.
authors.affiliation: Division of Vascular Surgery, University of Utah School of Medicine, 30 N. 1900 E., Suite #3C344, Salt Lake City, UT 84132.
authors.forename: Peter B
authors.initials: PB
authors.lastname: Bartline
authors.affiliation: Division of Vascular Surgery, University of Utah School of Medicine, 30 N. 1900 E., Suite #3C344, Salt Lake City, UT 84132. Electronic address: Benjamin.Brooke@hsc.utah.edu.
authors.forename: Benjamin S
authors.initials: BS
authors.lastname: Brooke
mesh_terms: D003661:Decision Support Techniques; D003695:Delivery of Health Care / Q000592:standards*; D019317:Evidence-Based Medicine / Q000592:standards*; D006801:Humans; D017060:Patient Satisfaction; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology; D011300:Preoperative Care / Q000592:standards*; D017064:Process Assessment, Health Care / Q000592:standards*; D058996:Quality Improvement / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D012307:Risk Factors; D016896:Treatment Outcome; D014652:Vascular Diseases / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000592:standards*