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Enhanced recovery pathways in thoracic surgery: the Shanghai experience
Firas Abu Akar1,2,3, Zhigang Chen4, Chenlu Yang1
1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai 200433, China.
Journal of Thoracic Disease
|April 10, 2018
Summary
Enhanced recovery (ER) programs improve patient outcomes by minimizing complications and speeding up treatment. Patient involvement from admission to discharge is key for successful ER implementation in hospitals.
Area of Science:
- Multidisciplinary care
- Surgical recovery protocols
Background:
- Implementing enhanced recovery (ER) programs across specialties aims to reduce errors and accelerate patient treatment and recovery.
- China's healthcare system lacks uniformity, leading to variations in hospital protocols and outcomes.
- Shanghai Pulmonary Hospital achieves a 7-day patient length of stay, a competitive international result.
Purpose of the Study:
- To outline the implementation of an enhanced recovery program.
- To highlight the benefits of minimally invasive approaches in patient care.
- To emphasize the importance of patient engagement throughout the recovery process.
Main Methods:
- Developing and implementing enhanced recovery (ER) protocols.
- Prioritizing minimally invasive surgical techniques.
- Integrating patient education and involvement from initial consultation to post-operative discharge.
Main Results:
- Achieved a 7-day average length of stay for patients at Shanghai Pulmonary Hospital.
- Demonstrated the effectiveness of a multidisciplinary approach to surgical recovery.
- Established a foundation for standardized ER protocols within a high-volume referral hospital.
Conclusions:
- Enhanced recovery programs, particularly those emphasizing minimally invasive techniques and patient participation, can significantly improve surgical outcomes.
- Standardized ER protocols are crucial for optimizing patient care and recovery, even within diverse healthcare systems.
- Patient-centered care, from clinic visit through discharge, is fundamental to the success of enhanced recovery initiatives.
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