دورية أكاديمية
Peer-to-Peer Collaboration Adds Value for Surgical Colleagues.
| العنوان: | Peer-to-Peer Collaboration Adds Value for Surgical Colleagues. |
|---|---|
| المؤلفون: | Elbuluk AM; 1Hospital for Special Surgery, New York, NY 10021 USA., Ast MP; Mercer-Bucks Orthopaedics, Lawrenceville, NJ 08648 USA., Stimac JD; Norton Orthopedic Associates, Louisville, KY 40214 USA., Banka TR; 4Henry Ford Medical Center, Dearborn, MI 48216 USA., Abdel MP; 5Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905 USA., Vigdorchik JM; 6Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY 10003 USA. |
| المصدر: | HSS journal : the musculoskeletal journal of Hospital for Special Surgery [HSS J] 2018 Oct; Vol. 14 (3), pp. 294-298. Date of Electronic Publication: 2018 May 21. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Country of Publication: United States NLM ID: 101273938 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1556-3316 (Print) Linking ISSN: 15563316 NLM ISO Abbreviation: HSS J Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2021- : Thousand Oaks, CA : SAGE Original Publication: New York, NY : Springer, 2005- |
| مستخلص: | Background: Peer-to-peer advisory among colleagues in orthopedic surgery is commonplace in academic medical centers. In the private practice setting, however, it becomes more difficult for surgeons to discuss complex cases among peers. Purpose/questions: We sought to study the effect of peer-to-peer mentorship on surgeons' decision-making and on patient care across academic and private adult joint reconstruction practices via the use of group secured messages. Methods: From 2013 to 2016, we established a messaging system that was compliant with the Health Insurance Portability and Accountability Act (HIPAA) among five previous adult hip and knee reconstruction co-fellows in order to discuss complex cases. Data collected from each case included patient demographics (age and sex), history and physical examination, relevant imaging in orthogonal planes, and preliminary diagnosis and treatment plans. Data collected from group responses included nature of additional inquiries, literature citations, operative recommendations, and sample imaging of similar cases previously treated. Results: The group consisted of two private practice surgeons and three academic surgeons. Data was collected on 283 cases discussed during the study period. None of the patients had any HIPAA violations. The mean number of reviewers who commented on a case was 2.4, with at least one response in 97% of cases. In 33% of the cases, the peers confirmed the initial treatment plan, and in 67% of the cases, an alternative treatment plan was recommended and executed. The case distribution was 94 primary and 189 revision procedures, including 173 hips, 103 knees, three ankles, two shoulders, and two pelvises. Conclusion: In the majority of cases exchanged between young surgeons via a group messaging system, a significant impact on patient care was appreciated. In a technology-driven era, peer-to-peer advisory for difficult cases via a rapid feedback method may allow for substantial improvement in patient care, particularly for surgeons not practicing at a large academic medical center with access to several partners and multiple opinions. Competing Interests: Ameer M. Elbuluk, MD, Michael P. Ast, MD, Jeffrey D. Stimac, MD, Trevor R. Banka, MD, Matthew P. Abdel, MD, and Jonathan M. Vigdorchik, MD, declare that they have no conflicts of interest.All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2013.Informed consent was waived from all patients for being included in this study.Disclosure forms provided by the authors are available with the online version of this article. |
| References: | J Nurs Educ. 1998 May;37(5):228-31. (PMID: 9605200) J Bone Joint Surg Am. 2014 Apr 16;96(8):624-30. (PMID: 24740658) JMIR Mhealth Uhealth. 2014 Jun 05;2(2):e28. (PMID: 25100283) J Med Internet Res. 2011 Aug 29;13(3):e59. (PMID: 21875849) J Hosp Med. 2014 Sep;9(9):573-8. (PMID: 25110991) Emerg Med J. 2004 Jul;21(4):438-45. (PMID: 15208226) J Interprof Care. 2013 Sep;27(5):373-9. (PMID: 23679672) Telemed J E Health. 2013 Mar;19(3):150-4. (PMID: 23384333) J Telemed Telecare. 1999;5(1):18-22. (PMID: 10505365) J Hosp Med. 2010 Nov-Dec;5(9):553-9. (PMID: 20690190) J Interprof Care. 2013 Nov;27(6):496-500. (PMID: 23805863) J Athl Train. 2006 Jan-Mar;41(1):102-8. (PMID: 16619102) Clin Orthop Relat Res. 2014 Jan;472(1):188-93. (PMID: 23649225) Health Aff (Millwood). 2015 Aug;34(8):1407-17. (PMID: 26220668) Clin Orthop Relat Res. 2013 Jun;471(6):1854-64. (PMID: 23404417) J Nurs Educ. 1987 May;26(5):204-6. (PMID: 3035142) Acad Med. 1990 Dec;65(12):733-4. (PMID: 2252487) J Arthroplasty. 2013 Sep;28(8 Suppl):157-65. (PMID: 24034511) J Telemed Telecare. 2000;6 Suppl 1:S178-81. (PMID: 10794013) J Hosp Med. 2015 Feb;10(2):83-9. (PMID: 25352429) |
| فهرسة مساهمة: | Keywords: clinical outreach; communication; mobile health; personal data; secure messaging; telehealth; telemedicine |
| تواريخ الأحداث: | Date Created: 20180928 Latest Revision: 20220321 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC6148583 |
| DOI: | 10.1007/s11420-018-9616-6 |
| PMID: | 30258335 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1556-3316 |
|---|---|
| DOI: | 10.1007/s11420-018-9616-6 |