Multicenter Observational Study Examining the Implementation of Enhanced Recovery Within the Virginia Surgical Quality Collaborative in Patients Undergoing Elective Colectomy
作者: Traci L. HedrickRobert H. ThieleTaryn E. HassingerJean DonovanH. David ReinesEdward DamicoSandy FogelJames E. JonesJorge PosadasR. Scott JonesFlorence E. Turrentine
作者单位: 1Department of Surgery, University of Virginia Health System, Charlottesville, VA
2Department of Anesthesia, University of Virginia Health System, Charlottesville, VA
3Department of Surgery, Inova Fairfax Hospital, Annandale, VA
4Winchester Medical Center, Winchester, VA
5Department of Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA
6Carilion Clinic, Roanoke, VA
刊名: Journal of the American College of Surgeons, 2019, Vol.229 (4), pp.374-382.e3
来源数据库: Elsevier Journal
DOI: 10.1016/j.jamcollsurg.2019.04.033
英文摘要: Background(#br)The American College of Surgeons (ACS) NSQIP Virginia Surgical Quality Collaborative (VSQC) exists to improve surgical outcomes through multi-institutional collaboration. Enhanced recovery (ER) protocols improve morbidity and reduce length of stay (LOS) after elective surgery. We hypothesized implementation of ER through VSQC would reduce postoperative complications and LOS in patients undergoing elective colectomy. Our objective was to evaluate whether standardization of care based on evidenced-based practices in healthcare settings across multiple institutions improved outcomes.(#br)Study Design(#br)In 2013, VSQC incrementally implemented ER for patients undergoing elective colectomy at participating institutions. Institutions shared protocols, order sets, educational...
全文获取路径: Elsevier  (合作)