American Society for Enhanced Recovery ASER and Perioperative Quality Initiative POQI joint consensus statement on measurement to maintain and improve quality of enhanced recovery pathways for elective colorectal surgeryReportar como inadecuado




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Perioperative Medicine

, 6:6

First Online: 17 March 2017Received: 18 September 2016Accepted: 27 February 2017DOI: 10.1186-s13741-017-0062-7

Cite this article as: Moonesinghe, S.R., Grocott, M.P.W., Bennett-Guerrero, E. et al. Perioper Med 2017 6: 6. doi:10.1186-s13741-017-0062-7

Abstract

BackgroundThis article sets out a framework for measurement of quality of care relevant to enhanced recovery pathways ERPs in elective colorectal surgery. The proposed framework is based on established measurement systems and-or theories, and provides an overview of the different approaches for improving clinical monitoring, and enhancing quality improvement or research in varied settings with different levels of available resources.

MethodsUsing a structure-process-outcome framework, we make recommendations for three hierarchical tiers of data collection.

DiscussionCore, Quality Improvement, and Best Practice datasets are proposed. The suggested datasets incorporate patient data to describe case-mix, process measures to describe delivery of enhanced recovery and clinical outcomes. The fundamental importance of routine collection of data for the initiation, maintenance, and enhancement of enhanced recovery pathways is emphasized.

KeywordsEnhanced recovery Enhanced recovery pathway Outcomes Quality Colorectal surgery AbbreviationsAONAll or none

ASA-PSSAmerican Society of Anesthesiologists’ Physical Status Score

COMETCore Outcome Measures for Effectiveness Trials

COMPACCore Outcome Measures for Perioperative and Anaesthesia Care

DREAMDrinking, eating, analgesia, mobilizing, and sleeping

EREnhanced recovery

ERPEnhanced recovery pathway

HRQOLHealth-related quality of life

ICERIncremental cost-effectiveness ratio

LOSLength of stay

NSQIPNational Surgery Quality Improvement Program

P-POSSUMPortsmouth-Physiology and Operative Severity Score for the enUmeration of Mortality

PROMsPatient-reported outcome measures

QALYsQuality-adjusted life years

QIQuality improvement

StEPStandardized Endpoints in Perioperative care

UKUnited Kingdom

VAVeterans’ Affairs

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Autor: S. Ramani Moonesinghe - Michael P. W. Grocott - Elliott Bennett-Guerrero - Roberto Bergamaschi - Vijaya Gottumukkala - Tho

Fuente: https://link.springer.com/



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