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The Perioperative Surgical Home in Pediatrics: Improve Patient Outcomes, Decrease Cancellations, Improve HealthCare

Aysha Hasan1,2,3, Remy Zimmerman2, Kelly Gillock2

  • 1Section of Anesthesiology, St. Christopher's Hospital for Children, Philadelphia, PA 19134, USA.

Healthcare (Basel, Switzerland)
|August 14, 2020
PubMed

Insights

Surgical delays for pediatric patients pose challenges. This paper proposes expanding the perioperative surgical home (PSH) model to enhance pediatric surgical care quality, especially after COVID-19 pandemic disruptions.

Area of Science:

  • Pediatric surgery
  • Perioperative care
  • Healthcare management

Background:

  • Surgical cancellations and delays significantly impact pediatric patients and healthcare providers.
  • The perioperative surgical home (PSH) model, integrating enhanced recovery principles, is used for outpatient management before surgery.
  • The COVID-19 pandemic introduced substantial changes to standard operating procedures in surgical settings.

Purpose of the Study:

  • To describe operational changes in pediatric surgical care due to the COVID-19 pandemic.
  • To propose the expansion of the perioperative surgical home (PSH) model.
  • To improve the quality of perioperative care for pediatric populations.

Main Methods:

  • Review of standard operating procedures in pediatric surgical care.
  • Analysis of pandemic-induced changes.
  • Literature review on perioperative surgical home (PSH) models and enhanced recovery after surgery (ERAS) concepts.

Main Results:

  • The COVID-19 pandemic necessitated significant modifications to established surgical workflows.
  • Existing perioperative surgical home (PSH) frameworks offer a foundation for adaptation.
  • Enhanced recovery protocols within PSH can mitigate disruptions.

Conclusions:

  • The perioperative surgical home (PSH) model is adaptable and can be expanded to address challenges in pediatric surgical care.
  • Implementing PSH can lead to improved perioperative quality and patient outcomes.
  • Strategic expansion of PSH is crucial for resilient pediatric surgical services.

Keywords:
COVID-19anesthesiologynursingpediatricsperioperativepharmacysurgeonsurgical hometeam-based care

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