How to introduce a program of Enhanced Recovery after Surgery? The experience of the CAPIO group

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• 作者：J.-F. Verrier ; ^{jfverrier@capio.fr} ; C. Paget ; F. Perlier ; F. Demesmay
• 关键词：Rapid Recovery after Surgery (RRAS) ; Enhanced Recovery after Surgery (ERAS) ; Enhanced Recovery Program (ERP) ; Rapid recovery program ; Transforming healthcare ; Multidisciplinary team ; Pre-operative education ; Peri-operative care ; Telemedicine
• 刊名：Journal of Visceral Surgery
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：153
• 期：6_supp_S
• 页码：S33-S39
• 全文大小：437 K
• 卷排序：153

文摘

The traditional model of hospital care has been challenged by the development of a care-management process that allows early patient autonomy (outpatient surgery, Enhanced Recovery after Surgery). Hospitalization has been transformed in response to this development, based on innovative medical and organizational strategies. Within a surgical service, the deployment of these processes requires the creation of a support structure, with re-organization of existing structures, analysis of potential obstacles, implementation of management tools, and ongoing follow-up of organizational function, clinical results, organizational and patient satisfaction. These will ultimately assess adaptation of structures within these new organizations. In this article, we share our insights based on experience gained over the past six years by surgical teams of the CAPIO group.