Wall Josh, Dhesi Jugdeep, Snowden Chris, Swart Mike
London School of Anaesthesia and ICM, London, UK.
Guy's and St Thomas' NHS Foundation Trust, London, UK.
Future Healthc J. 2022 Jul;9(2):138-143. doi: 10.7861/fhj.2022-0051.
Perioperative medicine delivers patient-centred, multidisciplinary, integrated care for patients from the contemplation of surgery throughout the surgical pathway to recovery. High-quality perioperative care reduces complications, improves outcomes, and leads to improved patient satisfaction and reduced healthcare costs. This article is based on key findings and recommendations from the Getting It Right First Time (GIRFT) national report on perioperative medicine and outlines key concepts of perioperative medicine; exploring how practice can be transformed to improve care. The GIRFT report was produced using information gathered from 72 visits and 119 surveys from NHS trusts in England. It illustrates examples of exemplary perioperative care across the country but also describes variation in access to and provision of perioperative care. To address this unwarranted variation and to tackle the implementation gap, transformation of perioperative care pathways ensuring a patient-centered approach, multi-professional collaboration and widespread adoption of best practice will be required.
围手术期医学为患者提供以患者为中心的、多学科的综合护理，涵盖从考虑手术开始，贯穿手术全过程直至康复。高质量的围手术期护理可减少并发症、改善治疗结果，并提高患者满意度，降低医疗成本。本文基于“一次做对”（GIRFT）关于围手术期医学的全国性报告的主要发现和建议，概述围手术期医学的关键概念；探讨如何转变实践以改善护理。GIRFT报告是利用从英格兰国民保健服务信托机构进行的72次走访和119次调查收集到的信息编制而成。它展示了全国范围内围手术期护理的典范案例，但也描述了围手术期护理在可及性和提供方面的差异。为解决这种不必要的差异并消除实施差距，需要转变围手术期护理路径，确保以患者为中心的方法、多专业协作以及广泛采用最佳实践。
