术后加速康复：实施策略、障碍和促进因素。
Enhanced Recovery After Surgery: Implementation Strategies, Barriers and Facilitators.
机构信息
Best Practice in Surgery, Department of Surgery, University of Toronto, 149 College Street, 5th Floor, Toronto Ontario M5T 1P5, Canada.
Quality and Best Practices, Department of Surgery, University of Toronto, 149 College Street, 5th Floor, Toronto Ontario M5T 1P5, Canada; Clinical Programs and Quality Initiatives, Cancer Care Ontario, 620 University Avenue, 16th floor, Toronto, ON M5G 2L7, Canada.
出版信息
Surg Clin North Am. 2018 Dec;98(6):1201-1210. doi: 10.1016/j.suc.2018.07.007. Epub 2018 Aug 24.
Numerous reports have documented the effectiveness of Enhanced Recovery after Surgery (ERAS) pathways in improving recovery and decreasing morbidity and length of stay. However, there is also increasing evidence that ERAS guidelines are difficult to adopt and require the commitment of all members of the perioperative team. Multiple barriers related to limited hospital resources (financial, staffing, space restrictions, and education), active or passive resistance from members of the perioperative team, and lack of data and/or education have been identified. Thus, ERAS guidelines require a tailored implementation strategy to increase adherence.
大量报告已经证明了术后强化康复（ERAS）方案在改善康复效果、降低发病率和住院时间方面的有效性。然而，也有越来越多的证据表明，ERAS 指南难以采用，需要围手术期团队的所有成员共同承诺。已经确定了与有限的医院资源（财务、人员配备、空间限制和教育）相关的多种障碍、围手术期团队成员的主动或被动抵制，以及缺乏数据和/或教育等障碍。因此，ERAS 指南需要制定有针对性的实施策略来提高其遵医率。
Zotero 插件