From the Department of Medicine, University of Alberta, Edmonton, Alta. (Gramlich); CancerControl Alberta, Alberta Health Services, Calgary, Alta. (Surgeoner); the Department of Anesthesia, McGill University, Montreal, Que. (Baldini); Eastern Health, St. John’s, Nfld. (Ballah); the Ministry of Corrections and Policing, Swift Current, Sask. (Baum); the Department of Surgery, St. Paul’s Hospital, University of British Columbia, Vancouver, BC (Karimuddin); the Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alta. (Nelson); the Department of Anesthesiology and Pain Medicine, Maisonneuve-Rosemont Hospital/CEMTL, Université de Montréal, Montreal, Que. (Richebé); the Department of Nursing, McGill University, Montreal, Que. (Watson); and the Canadian Patient Safety Institute, Edmonton, Alta. (Williams).
Mary-Anne Aarts, MD; Biniam Kidane, MD, MSc; Liane Feldman, MDCM; Magda Recsky, MD, MSc; Tony MacLean, MD; Evan Minty, MC, MSc; Stuart McCluskey, MD, PhD; Kelly Mayson, MD; Selena Fitzgerald, BScN, RN; Lucie Filteau, MD; Hance Clark, MD, PhD; Naveen Eipe, MBBS, MD; Gabrielle Page, PhD; Krista Brecht, RN, BScN; Veronique Brulotte, MD, MSc; Husein Moloo, MD, MSc; Heather Keller, RD, PhD; Manon Laporte, RD; Marlis Atkins, RD; Chelsia Gillis, RD, MSc; Louis-Francois Cote, RD; Celena Scheede Bergdahl, MSc, PhD; Julio Fiore, PT, MSc, PhD; Jackie Farquhar, MD; Chiara Singh, BScPT; Sender Liberman, MD; Amal Bessissow, MD, MSc; Bevin Ledrew; Nancy Posel, PhD; Kathy Kovacs Burns, MSc, MHSA, PhD; Valerie Phillips; Jennifer Rees, BSc.
Can J Surg. 2020 Jan 16;63(1):E19-E20. doi: 10.1503/cjs.006819.
Enhanced Recovery After Surgery (ERAS) is a model of care that was introduced in the late 1990s by a group of surgeons in Europe. The model consists of a number of evidence-based principles that support better outcomes for surgical patients, including improved patient experience, reduced length of stay in hospital, decreased complication rates and fewer hospital readmissions. A number of Canadian surgical care teams have already adopted ERAS principles and have reported positive outcomes. Arising from the Canadian Patient Safety Institute’s Integrated Patient Safety Action Plan for Surgical Care Safety, and with support from numerous partner organizations from across the country, Enhanced Recovery Canada is leading the drive to improve surgical safety across the country and help disseminate these ERAS principles. We discuss the development of a multidisciplinary clinical pathway for elective colorectal surgery to help guide Canadian clinicians.
术后加速康复(ERAS)是一种护理模式,由 20 世纪 90 年代末欧洲的一组外科医生引入。该模式由一系列基于证据的原则组成,旨在为外科患者提供更好的治疗效果,包括改善患者体验、缩短住院时间、降低并发症发生率和减少住院再入院率。加拿大的许多外科护理团队已经采用了 ERAS 原则,并取得了积极的成果。在加拿大患者安全研究所的综合患者安全行动计划的推动下,并且得到了全国众多合作伙伴组织的支持,加拿大康复协会正在引领全国范围内提高外科安全水平的工作,并帮助传播这些 ERAS 原则。我们讨论了制定一种用于择期结直肠手术的多学科临床路径,以帮助指导加拿大临床医生。