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 surgery
Autor: | Roberto Bergamaschi, Vijaya Gottumukkala, Andrew D. Shaw, Timothy E. Miller, Elliott Bennett-Guerrero, Thomas J. Hopkins, Stuart A. McCluskey, Michael G. Mythen, Michael P.W. Grocott, S Ramani Moonesinghe, Tong J. Gan |
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Rok vydání: | 2017 |
Předmět: |
Enhanced recovery pathway
medicine.medical_specialty Quality management Process management media_common.quotation_subject Best practice Outcomes 03 medical and health sciences 0302 clinical medicine Enhanced recovery Colorectal surgery 030202 anesthesiology medicine Quality (business) 030212 general & internal medicine Intensive care medicine media_common Statement (computer science) Data collection business.industry Consensus Statement Perioperative Quality business |
Zdroj: | Perioperative Medicine |
ISSN: | 2047-0525 |
Popis: | Background This 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. Methods Using a structure-process-outcome framework, we make recommendations for three hierarchical tiers of data collection. Discussion Core, 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. |
Databáze: | OpenAIRE |
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