American Society of Regional Anesthesia and Pain Medicine May 2017 - 17

multiple analgesic or anesthetic options and the nuanced decisionmaking that accompanies these options.
BRINGING IT ALL BACK HOME: HOW PATIENT INVOLVEMENT IS
PART OF THE PSH
The evolving medical landscape is being guided by the "Triple Aim"
set out by the Institute of Healthcare Improvement. These aims
include improving the individual experience of care, improving the
health of populations, and reducing per capita costs.22 These goals
require a collaborative effort for success, and anesthesiologists are
counting on the PSH to be that collaborative effort.23 The principles
of the PSH lend themselves to the use of shared decision-making
tools as part of the perioperative process, as well as anesthetic
discussions taking place before the day of surgery. This allows
patients to have their values and preferences regarding their
anesthetic choices taken into consideration with ample time before
the day of surgery. Brooks et al10 found that by moving the patient
consent process to the preoperative assessment clinic, their
practices were more consistent with the triple aim of health care
improvement.
As our care evolves to meet the triple aim and to accomplish
patient-centered care, we need to also upgrade the tools we use
to accomplish this care. Our processes for preoperative evaluation
need to grow to allow for patient participation in decisions about
their anesthetic. This may result in the creation and use of shared
decision-making tools, as well as improved preoperative patient
education in using multiple modalities. By leading the charge to
educate our patients preoperatively and involve them in their care,
we are leading the perioperative field into the future. And bringing
them into our home: the PSH.
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http://www.ahrq.gov/professionals/education/curriculum-tools/shareddecisionmaking/index.html http://www.ahrq.gov/professionals/education/curriculum-tools/shareddecisionmaking/index.html http://www.IHI.org

Table of Contents for the Digital Edition of American Society of Regional Anesthesia and Pain Medicine May 2017