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术后加速康复及对质量指标的影响。

Enhanced Recovery After Surgery and Effects on Quality Metrics.

机构信息

American College of Surgeons, Division of Research and Optimal Patient Care, 633 North St Clair Street, 22nd Floor, Chicago, IL 60611, USA; Department of Surgery, Emory University, 1364 Clifton Road NE, Room H127, Atlanta, GA 30322, USA.

Division of General Surgery, University of California San Francisco, 513 Parnassus Avenue, Room HSW1601, San Francisco, CA 94143, USA.

出版信息

Surg Clin North Am. 2018 Dec;98(6):1119-1127. doi: 10.1016/j.suc.2018.07.001. Epub 2018 Aug 24.

Abstract

Enhanced recovery after surgery (ERAS) is an evidence-based protocol that aims to decrease the physiologic stress response to surgery and maintain postoperative physiologic function. This best practice bundle plays a significant role in improving surgical quality by impacting important quality metrics such as length of stay, hospital-acquired infections, readmissions, and patient experience. Adherence to ERAS as a collective bundle is more important than individual components in improving quality metrics, and this can only be achieved with data-driven information through auditing and interdisciplinary collaboration.

摘要

术后加速康复(ERAS)是一种基于证据的方案,旨在减轻手术引起的生理应激反应,维持术后生理功能。该最佳实践方案包通过影响重要的质量指标(如住院时间、医院获得性感染、再入院和患者体验),在提高手术质量方面发挥着重要作用。作为一个整体方案包,ERAS 的实施比个别方案的实施对提高质量指标更为重要,而这只有通过审核和跨学科合作获取数据驱动的信息才能实现。

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