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2. The effect of family-centered care on unplanned emergency room visits, hospital readmissions and intensive care admissions after surgery: a root cause analysis from a prospective multicenter study in the Netherlands.

Author

Kreca, Sani Marijke, Albers, Iris Sophie, Musters, Selma Clazina Wilhelmina, van Dijkum, Els Jaqueline Maria Nieveen, Tuinman, Pieter Roel, Eskes, Anne Maria, Besselink, Marc G.H., Bakker, Chris A., van Langen, Rosanna, Heidsma, Charlotte, Ouwens, Marjan, Hendriks, Marie-José, van Leeuwen, Barbara L., Smith, Reggie, Schreuder, Marthe, Chaboyer, Wendy, van der Wal-Huisman, Hanneke, and Romijn, Johannes A.

Subjects
*RISK assessment, *HOME care services, *POSTOPERATIVE care, *PATIENT safety, *ABDOMINAL tumors, *SECONDARY analysis, *ACADEMIC medical centers, *MEDICAL care, *EMERGENCY room visits, *PATIENT readmissions, *FAMILIES, *INFORMATION storage & retrieval systems, *DESCRIPTIVE statistics, *MANN Whitney U Test, *ROOT cause analysis, *CAREGIVERS, *MEDICAL records, *ADVERSE health care events, *DATA analysis software, *PATIENT participation, *PATIENT aftercare, *ALGORITHMS
Abstract

Background: Optimizing transitional care by practicing family-centered care might reduce unplanned events for patients who undergo major abdominal cancer surgery. However, it remains unknown whether involving family caregivers in patients' healthcare also has negative consequences for patient safety. This study assessed the safety of family involvement in patients' healthcare by examining the cause of unplanned events in patients who participated in a family involvement program (FIP) after major abdominal cancer surgery. Methods: This is a secondary analysis focusing on the intervention group of a prospective cohort study conducted in the Netherlands. Data were collected from April 2019 to May 2022. Participants in the intervention group were patients who engaged in a FIP. Unplanned events were analyzed, and root causes were identified using the medical version of a prevention- and recovery-information system for monitoring and analysis (PRISMA) that analyses unintended events in healthcare. Unplanned events were compared between patients who received care from family caregivers and patients who received professional at-home care after discharge. A Mann-Whitney U test was used to analyze data. Results: Of the 152 FIP participants, 68 experienced an unplanned event and were included. 112 unplanned events occurred with 145 root causes since some unplanned events had several root causes. Most root causes of unplanned events were patient-related factors (n = 109, 75%), such as patient characteristics and disease-related factors. No root causes due to inadequate healthcare from the family caregiver were identified. Unplanned events did not differ statistically (interquartile range 1–2) (p = 0.35) between patients who received care from trained family caregivers and those who received professional at-home care after discharge. Conclusion: Based on the insights from the root-cause analysis in this prospective multicenter study, it appears that unplanned emergency room visits and hospital readmissions are not related to the active involvement of family caregivers in surgical follow-up care. Moreover, surgical follow-up care by trained family caregivers during hospitalization was not associated with increased rates of unplanned adverse events. Hence, the concept of active family involvement by proficiently trained family caregivers in postoperative care appears safe and feasible for patients undergoing major abdominal surgery. [ABSTRACT FROM AUTHOR]

Published
2024
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3. Supplementary Figure S1 from Proinflammatory Macrophage Activation by the Polysialic Acid-Siglec-16 Axis Is Linked to Increased Survival of Patients with Glioblastoma

Author

Thiesler, Hauke, primary, Gretenkort, Lina, primary, Hoffmeister, Leonie, primary, Albers, Iris, primary, Ohlmeier, Luisa, primary, Röckle, Iris, primary, Verhagen, Andrea, primary, Banan, Rouzbeh, primary, Köpcke, Nora, primary, Krönke, Nicole, primary, Feuerhake, Friedrich, primary, Behling, Felix, primary, Barrantes-Freer, Alonso, primary, Mielke, Dorothee, primary, Rohde, Veit, primary, Hong, Bujung, primary, Varki, Ajit, primary, Schwabe, Kerstin, primary, Krauss, Joachim K., primary, Stadelmann, Christine, primary, Hartmann, Christian, primary, and Hildebrandt, Herbert, primary

Published
2023
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4. Supplementary Methods S1 from Proinflammatory Macrophage Activation by the Polysialic Acid-Siglec-16 Axis Is Linked to Increased Survival of Patients with Glioblastoma

Author

Thiesler, Hauke, primary, Gretenkort, Lina, primary, Hoffmeister, Leonie, primary, Albers, Iris, primary, Ohlmeier, Luisa, primary, Röckle, Iris, primary, Verhagen, Andrea, primary, Banan, Rouzbeh, primary, Köpcke, Nora, primary, Krönke, Nicole, primary, Feuerhake, Friedrich, primary, Behling, Felix, primary, Barrantes-Freer, Alonso, primary, Mielke, Dorothee, primary, Rohde, Veit, primary, Hong, Bujung, primary, Varki, Ajit, primary, Schwabe, Kerstin, primary, Krauss, Joachim K., primary, Stadelmann, Christine, primary, Hartmann, Christian, primary, and Hildebrandt, Herbert, primary

Published
2023
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5. Supplementary Tables S1-S14 from Proinflammatory Macrophage Activation by the Polysialic Acid-Siglec-16 Axis Is Linked to Increased Survival of Patients with Glioblastoma

Author

Thiesler, Hauke, primary, Gretenkort, Lina, primary, Hoffmeister, Leonie, primary, Albers, Iris, primary, Ohlmeier, Luisa, primary, Röckle, Iris, primary, Verhagen, Andrea, primary, Banan, Rouzbeh, primary, Köpcke, Nora, primary, Krönke, Nicole, primary, Feuerhake, Friedrich, primary, Behling, Felix, primary, Barrantes-Freer, Alonso, primary, Mielke, Dorothee, primary, Rohde, Veit, primary, Hong, Bujung, primary, Varki, Ajit, primary, Schwabe, Kerstin, primary, Krauss, Joachim K., primary, Stadelmann, Christine, primary, Hartmann, Christian, primary, and Hildebrandt, Herbert, primary

Published
2023
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6. Proinflammatory Macrophage Activation by the Polysialic Acid-Siglec-16 Axis Is Linked to Increased Survival of Patients with Glioblastoma

Author

Thiesler, Hauke, primary, Gretenkort, Lina, additional, Hoffmeister, Leonie, additional, Albers, Iris, additional, Ohlmeier, Luisa, additional, Röckle, Iris, additional, Verhagen, Andrea, additional, Banan, Rouzbeh, additional, Köpcke, Nora, additional, Krönke, Nicole, additional, Feuerhake, Friedrich, additional, Behling, Felix, additional, Barrantes-Freer, Alonso, additional, Mielke, Dorothee, additional, Rohde, Veit, additional, Hong, Bujung, additional, Varki, Ajit, additional, Schwabe, Kerstin, additional, Krauss, Joachim K., additional, Stadelmann, Christine, additional, Hartmann, Christian, additional, and Hildebrandt, Herbert, additional

Published
2023
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7. Data from Proinflammatory Macrophage Activation by the Polysialic Acid-Siglec-16 Axis Is Linked to Increased Survival of Patients with Glioblastoma

Author

Thiesler, Hauke, primary, Gretenkort, Lina, primary, Hoffmeister, Leonie, primary, Albers, Iris, primary, Ohlmeier, Luisa, primary, Röckle, Iris, primary, Verhagen, Andrea, primary, Banan, Rouzbeh, primary, Köpcke, Nora, primary, Krönke, Nicole, primary, Feuerhake, Friedrich, primary, Behling, Felix, primary, Barrantes-Freer, Alonso, primary, Mielke, Dorothee, primary, Rohde, Veit, primary, Hong, Bujung, primary, Varki, Ajit, primary, Schwabe, Kerstin, primary, Krauss, Joachim K., primary, Stadelmann, Christine, primary, Hartmann, Christian, primary, and Hildebrandt, Herbert, primary

Published
2023
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