Abstract
Surgical Pause is a new national program in the Department of Veterans Affairs aimed at improving surgical outcomes. The Risk Analysis Index, a validated 14-item instrument that measures surgical frailty, is used to identify patients at high surgical risk at the point of care before surgery. This article describes the creation of a nurse practitioner–led quality improvement initiative to create an interdisciplinary high-risk quality surgery board and integrate it with the preoperative Risk Analysis Index to augment frailty screening, risk stratification, and management of high-risk older frail surgical patients in a tertiary Veterans Affairs medical facility.
| Original language | English |
|---|---|
| Article number | 105496 |
| Journal | Journal for Nurse Practitioners |
| Volume | 21 |
| Issue number | 9 |
| DOIs | |
| State | Published - Oct 2025 |
Keywords
- Surgical Pause
- frailty
- nurse practitioner
- preoperative risk stratification
- quality improvement
- surgery
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