开发韩国手术后增强恢复的审计计划
Soo-Hyuk Yoon1, Jae-Woo Ju1, Ho-Jin Lee2
1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
Scientific reports
|July 28, 2025
概括
开发了一个新的审计系统,韩国ERAS研究和审计系统 (K-ERAS),以跟踪韩国手术后增强恢复 (ERAS) 合规性. 该系统揭示了人们对禁食和疼痛管理协议的遵守程度较低,并突出了需要改进的领域.
科学领域:
- 在外科手术期间的医学.
- 手术结果研究研究.
- 医疗信息学 医疗信息学
背景情况:
- 有效的审计计划对于成功实施手术后增强恢复 (ERAS) 是至关重要的.
- 韩国缺乏专门针对其医疗保健背景的ERAS审计系统.
研究的目的:
- 开发和评估韩国ERAS研究和审计系统 (K-ERAS) 以监测ERAS的合规性.
- 在结直肠癌手术患者中评估术后数据的完整性,仪表板功能和ERAS遵守率.
主要方法:
- 开发K-ERAS,整合来自前性观察研究的数据.
- 实时仪表板可用于可视化术后结果和数据完整性.
- 分析了556名结直肠癌手术患者的数据 (2023年10月 - 2024年10月).
主要成果:
- 通过使用K-ERAS成功输入数据和可视化术后数据.
- 总体而言,ERAS的合规率为47.4%.
- 在外科手术前禁食方案 (例如,碳水化合物负载0.9%) 和疼痛管理 (例如,预防性止痛2.7%) 中观察到较低的坚持.
结论:
- K-ERAS是一个可靠和适应性的系统,用于在ERAS框架中管理经营期间的数据.
- 确定了遵守禁食和疼痛管理协议的重大差距,表明需要有针对性的干预措施.
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