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如果外科手术前患者的路径是正确的,它会是什么样子的?
David Allan Watters1,2,3, David A Scott3,4,5, Tarik Sammour6,7
1School of Medicine, Deakin University, Geelong, Victoria, Australia.
ANZ journal of surgery
|August 6, 2024
概括
优化术前护理,从术前准备到术后康复,可以减少并发症和住院时间. 增强的患者旅程改善了结果和卫生系统价值.
科学领域:
- 外科手术的结果
- 在外科手术期间的医学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在手术中优化患者的结果对于改善护理提供至关重要.
- 术前旅程的每个阶段都为改善患者体验和降低成本提供了机会.
- 重点是通过减少并发症和缩短住院时间来提高价值.
研究的目的:
- 确定改善外科手术前护理提供机会.
- 为了减少术后并发症和住院时间.
- 提高卫生系统内的整体价值.
主要方法:
- 对现有文献进行了叙事审查.
- 在2023年7月举行的第二届"隐藏的流行病 (术后并发症) "峰会上,取得了协商和共识.
- 在整个术后患者旅程中确定了关键机遇.
主要成果:
- 手术前:及时的替代治疗和风险评估对于优化并发症和预康复至关重要.
- 在手术期间:手术后增强恢复 (ERAS) 计划可以减少并发症和停留时间,但需要协调实施.
- 手术后:主动监测,医疗保健接入和家庭康复改善了结果和患者体验.
结论:
- 识别和减轻风险对于减少并发症和住院时间至关重要.
- 改善外科手术期间患者的旅程,可以改善患者的治疗结果.
- 这些改进为卫生系统带来了巨大的价值.
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