Moffatt-Bruce Susan D, Hilligoss Brian, Gonsenhauser Iahn
Department of Surgery, The Ohio State University, Columbus, Ohio.
College of Public Health, The Ohio State University, Columbus, Ohio.
J Surg Oncol. 2017 Oct;116(5):601-607. doi: 10.1002/jso.24790. Epub 2017 Aug 28.
The concept rested on several components that many of us have now tried to adopt or improve on, inclusive of a multidisciplinary team, a multimodal approach to anesthesia and preoperative preparedness, evidence-based approach to care protocols; and a change in management using interactive and continuous audit prior to and post-procedure. This article describes the development of ERAS protocols relative to checklist implementation, antibiotic use, and venous thromboembolism (VTE) prevention, how these ideas are developed and operationalized as well as how they are evolving and spreading across the care continuum to achieve sustained outcome improvements.
这一理念基于多个组成部分,我们中的许多人现在都试图采用或改进这些部分,包括多学科团队、麻醉和术前准备的多模式方法、基于证据的护理方案;以及在手术前后使用交互式和持续审计进行管理变革。本文描述了与清单实施、抗生素使用和静脉血栓栓塞(VTE)预防相关的加速康复外科(ERAS)方案的发展,这些理念是如何形成和实施的,以及它们如何在整个护理过程中不断发展和传播,以实现持续的结果改善。