The investigators aim to show the feasibility and medicoeconomic impact of implementing a clinical screening and response system for the early detection of perioperative cardiac complications in high-risk patients. Specifically, the investigators aim to: 1) evaluate the feasibility of implementation of a PMI-screening; 2) evaluate the medicoeconomic impact of implementing a PMI-screening; 3) identify barriers to implementation; 4) generate data for a future randomized controlled trial on outcomes by exploring opportunities to improve care following PMI, the occurrence and timing of major adverse cardiac events (MACE), and the treatment effect associated with PMI-screening.
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Perioperative Myocardial Infarction/Injury (PMI)-Screening (Reach)
Timeframe: during the hospital stay (up to postoperative day 2)
Incidence of PMI
Timeframe: after the surgery until postoperative day 2
Cardiology consultation (Fidelity)
Timeframe: during hospital stay (up to postoperative day 5)
Diagnostic challenge
Timeframe: during hospital stay (up to postoperative day 5)
Barriers to implementation
Timeframe: following the post-implementation period (6 months after implementation)