Related Experiment Video
Updated: Sep 2, 2025
13:12
Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping
Published on: August 12, 2019
45.8K
Value-based Care and Quality Improvement in Perioperative Neuroscience
Astri M V Luoma1,2, Alana M Flexman3,4,5
1Department of Neuroanaesthesia and Neurocritical Care, National Hospital for Neurology and Neurosurgery, University College London Hospitals, NHS Foundation Trust, Queen Square.
Journal of Neurosurgical Anesthesiology
|August 2, 2022
Summary
Value-based care and quality improvement enhance clinical outcomes and cost efficiency in neuroscience. This review highlights strategies to overcome barriers and implement these approaches in perioperative neuroscience.
Area of Science:
- Neuroscience
- Healthcare Management
- Clinical Quality Improvement
Background:
- Value-based care links patient outcomes to cost efficiency.
- Quality improvement focuses on process optimization and adherence to best practices.
- Perioperative neuroscience currently lacks standardized core outcome sets.
Purpose of the Study:
- To review value-based care and quality improvement in perioperative neuroscience.
- To propose solutions for implementing these concepts in clinical practice.
- To address barriers hindering progress in value-based care.
Main Methods:
- Literature review of value-based care and quality improvement strategies.
- Analysis of existing bundled care solutions in perioperative neuroscience.
- Identification of potential individual and system-level interventions.
Main Results:
- Value-based care involves patient-centric outcomes, multidisciplinary teams, and cost-effectiveness.
- Quality improvement utilizes methodologies like Plan-Do-Study-Act cycles.
- Successful bundled care examples include enhanced recovery and delirium reduction pathways.
Conclusions:
- Implementing value-based care and quality improvement requires addressing systemic and individual barriers.
- Standardized outcome measures are needed for perioperative neuroscience.
- Strategic solutions can enhance both patient outcomes and healthcare efficiency.
Related Concept Videos
01:30Psychosurgery
99
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
99
01:26Aneurysm III: Interprofessional Care
21
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
21
01:24General Anesthesia: Overview
275
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
275
01:23Peripheral Artery Disease V: Postoperative Nursing Management
20
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
20
01:13Patient-centered Care
2.2K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.2K
01:28Cardiomyopathy VII: Pre and Post Operative Nursing Management
27
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
27