Surgeons demonstrated low adherence to documenting care preferences and surrogate decision-makers, while maintaining high adherence to discussing goals of surgery without documentation. Conflicting views arose concerning the relevance of care preferences and documentation of surrogate decision-makers. Participants questioned the direct connection between documentation of quality standards and improved patient care value. Factors influencing the adoption of quality standards included organizational culture, workflow, and multidisciplinary collaboration. Adherence to standards could be enhanced through institutional standardization, evidence linking standards to higher-value care, and improved multidisciplinary collaboration.
Journal Article by Hu FY, Tabata-Kelly M (…) Cooper Z et 5 al. in Ann Surg
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