Error Traps in Developing a Pediatric Enhanced Recovery After Surgery (ERAS) Program.

IF 1.7 4区 医学 Q2 ANESTHESIOLOGY Pediatric Anesthesia Pub Date : 2024-11-23 DOI:10.1111/pan.15042
Christian M Taylor, Emily L Weisberg, Nichole M Doyle, Todd A Glenski
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Abstract

Enhanced recovery after surgery (ERAS) pathways have been shown to improve patient outcomes, increase patient satisfaction, and decrease costs. First created and implemented in the adult population, these pathways are now commonplace and continue to expand in the pediatric realm. While there are many proven benefits to ERAS pathways, there continue to be challenges to their proper implementation and long-term success. This article aims to explore common challenges in pediatric ERAS development and implementation, along with strategies to avoid potential pitfalls. Key themes include departmental and institutional support, stakeholder engagement, awareness of pathways, data management and dissemination, and long-term maintenance including Plan-Do-Study-Act (PDSA) cycles. Pathway development teams should be aware of these considerations and potential pitfalls, and focusing on them can promote long-term success for a well-designed pathway.

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制定儿科术后康复强化计划(ERAS)的错误陷阱。
事实证明,加强术后恢复(ERAS)途径可以改善患者的治疗效果、提高患者满意度并降低成本。这些路径最初是在成人群体中创建和实施的,现在已经很普遍,并将继续在儿科领域推广。虽然 ERAS 途径有许多已被证实的好处,但其正确实施和长期成功仍面临挑战。本文旨在探讨儿科 ERAS 发展和实施过程中的常见挑战,以及避免潜在陷阱的策略。关键主题包括部门和机构的支持、利益相关者的参与、对路径的认识、数据管理和传播,以及包括计划-实施-研究-行动(PDSA)周期在内的长期维护。路径开发团队应该意识到这些注意事项和潜在的陷阱,关注这些事项可以促进精心设计的路径取得长期成功。
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来源期刊
Pediatric Anesthesia
Pediatric Anesthesia 医学-麻醉学
CiteScore
3.20
自引率
11.80%
发文量
222
审稿时长
3-8 weeks
期刊介绍: Devoted to the dissemination of research of interest and importance to practising anesthetists everywhere, the scientific and clinical content of Pediatric Anesthesia covers a wide selection of medical disciplines in all areas relevant to paediatric anaesthesia, pain management and peri-operative medicine. The International Editorial Board is supported by the Editorial Advisory Board and a team of Senior Advisors, to ensure that the journal is publishing the best work from the front line of research in the field. The journal publishes high-quality, relevant scientific and clinical research papers, reviews, commentaries, pro-con debates, historical vignettes, correspondence, case presentations and book reviews.
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