A perioperative consult service results in reduction in cost and length of stay for colorectal surgical patients: evidence from a healthcare redesign project

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• 作者：Matthew D. McEvoy ; Jonathan P. Wanderer ; Adam B. King…
• 关键词：Care redesign ; Outcomes ; Length of stay ; Cost ; Colorectal surgery ; Consult service ; Multimodal
• 刊名：Perioperative Medicine
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：5
• 期：1
• 全文大小：2,225 KB
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• 作者单位：Matthew D. McEvoy (1)
  Jonathan P. Wanderer (1) (2)
  Adam B. King (1)
  Timothy M. Geiger (3)
  Vikram Tiwari (1) (2)
  Maxim Terekhov (1)
  Jesse M. Ehrenfeld (1) (2) (4) (5)
  William R. Furman (1) (4)
  Lorri A. Lee (1) (6)
  Warren S. Sandberg (1) (2) (4)
  
  1. Department of Anesthesiology, Vanderbilt University School of Medicine, Vanderbilt University Hospital, Nashville, TN, 37232, USA
  2. Department of Biomedical Informatics, Vanderbilt University School of Medicine, Vanderbilt University Hospital, Nashville, TN, 37232, USA
  3. Division of Colon and Rectal Surgery, Vanderbilt University School of Medicine, 1161 21st Ave South, D5248, Nashville, TN, 37232-2543, USA
  4. Department of Surgery, Vanderbilt University School of Medicine, Vanderbilt University Hospital, Nashville, TN, 37232, USA
  5. Department of Health Policy, Vanderbilt University School of Medicine, Vanderbilt University Hospital, Nashville, TN, 37232, USA
  6. Division of Neuroanesthesiology, Vanderbilt University School of Medicine, Vanderbilt University Hospital, Nashville, TN, 37232, USA
  
• 刊物主题：Intensive / Critical Care Medicine; Emergency Medicine; Surgery; Human Physiology;
• 出版者：BioMed Central
• ISSN：2047-0525

文摘

Background A major restructuring of perioperative care delivery is required to reduce cost while improving patient outcomes. In a test implementation of this notion, we developed and implemented a perioperative consult service (PCS) for colorectal surgery patients.