Perioperative shared decision-making in the Bay of Plenty
Our team at Bay of Plenty DHB recognised we had a subset of patients who would benefit from co-ordinated multi-specialist input and shared decision-making very early in their perioperative journey, i.e. before they make a decision to have an operation.
We describe our experience of a quality improvement initiative culminating in the development of a complex decision pathway (CDP). The CDP encourages surgeons to identify high risk patients who will benefit from shared decision making, manages input from multiple specialists as needed with excellent communication between those specialists, and provides a patient-centred approach to decision making using a structured communication tool.