Smokers are at increased risk for surgical complications. Despite the known benefits of smoking cessation, many perioperative health care providers do not routinely provide smoking cessation interventions. The variation in delivery of perioperative smoking cessation interventions may be due to limited high-level evidence for whether smoking cessation interventions used in the general population are effective and feasible in the surgical population, as well as the challenges and barriers to implementation of interventions.
View Article and Find Full Text PDFBackground: Surgical clinic and perioperative settings are critical touchpoints for treating smoking, yet health care systems have not typically prioritized smoking cessation among surgical patients. We evaluated the implementation of a pilot smoking cessation intervention integrated into standard perioperative care.
Materials And Methods: English-speaking adult smokers undergoing elective surgery in Kaiser Permanente San Francisco before (2015) and after (2016-2017) the implementation of a smoking cessation intervention were included.
To achieve sustainability, remote and rural communities require health service models that are designed in and for these settings and are responsive to local population health needs. This paper draws on a panel discussion at the Rural and Indigenous Health Symposium held in Toronto, ON, on September 21, 2017. Active community participation is an important contributor to success in rural health system transformation, as well as health workforce recruitment and retention.
View Article and Find Full Text PDFSeventy-one U.S. mothers with a physical disability who had a child aged 0 to 3 years responded to a survey about the system of care used for their child.
View Article and Find Full Text PDFThe opening of a new facility often brings teams from different backgrounds who have previously never worked together. Organizational goals of safety and high reliability from the first day of operations would be impossible to attain without testing. Simulation is now being used to test new services, departments, and entire facilities before opening.
View Article and Find Full Text PDFLeaders have many options and resources open to them when they try to motivate their followers. These include forcing, ordering, manipulating, cajoling, threatening, and persuading. Of all these options, perhaps the most useful and powerful is persuasion.
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