Design and Implementation of a Perioperative Surgical Home at a Veterans Affairs Hospital

被引：24

作者：

Walters, Tessa L. ^{[1
,2
]}

Howard, Steven K. ^{[1
,2
]}

Kou, Alex ^{[1
,2
]}

Bertaccini, Edward J. ^{[1
,2
]}

Harrison, T. Kyle ^{[1
,2
]}

Kim, T. Edward ^{[1
,2
]}

Shafer, Audrey ^{[1
,2
]}

Brun, Carlos ^{[1
,2
]}

Funck, Natasha ^{[1
,2
]}

Siegel, Lawrence C. ^{[1
,2
]}

Stary, Erica ^{[1
,2
]}

Mariano, Edward R. ^{[1
,2
]}

机构：

[1] VA Palo Alto Hlth Care Syst, 3801 Miranda Ave 112A, Palo Alto, CA 94304 USA

[2] Stanford Univ, Sch Med, Palo Alto, CA 94304 USA

来源：

SEMINARS IN CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2016年 / 20卷 / 02期

关键词：

perioperative surgical home; perioperative medicine; anesthesiology; surgery; process improvement; quality improvement; outcomes;

D O I：

10.1177/1089253215607066

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The innovative Perioperative Surgical Home model aims to optimize the outcomes of surgical patients by leveraging the expertise and leadership of physician anesthesiologists, but there is a paucity of practical examples to follow. Veterans Affairs health care, the largest integrated system in the United States, may be the ideal environment in which to explore this model. We present our experience implementing Perioperative Surgical Home at one tertiary care universityaffiliated Veterans Affairs hospital. This process involved initiating consistent postoperative patient follow-up beyond the postanesthesia care unit, a focus on improving in-hospital acute pain management, creation of an accessible database to track outcomes, developing new clinical pathways, and recruiting additional staff. Today, our Perioperative Surgical Home facilitates communication between various services involved in the care of surgical patients, monitoring of patient outcomes, and continuous process improvement.

引用

页码：133 / 140

页数：8

共 20 条

[1] Characteristics of a High-quality Anesthesia Practice [J].

Arnold, Donald E. ;

Hattamer, Steve ;

Hicks, James S. .

INTERNATIONAL ANESTHESIOLOGY CLINICS, 2014, 52 (01) :15-41

[2]

Bould MD, 2012, CAN J ANESTH, V59, P136, DOI 10.1007/s12630-011-9633-0

[3] The Anesthesiologist-Directed Perioperative Surgical Home: A Great Idea That Will Succeed Only Surgeons [J].

Butterworth, John F. ;

Green, Jeffrey A. .

ANESTHESIA AND ANALGESIA, 2014, 118 (05) :896-897

[4] The Role of Perioperative Goal-Directed Therapy in the Era of Enhanced Recovery After Surgery and Perioperative Surgical Home [J].

Cannesson, Maxime ;

Kain, Zeev N. .

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA, 2014, 28 (06) :1633-1634

[5] Enhanced Recovery after Surgery Versus Perioperative Surgical Home: Is It All in the Name? [J].

Cannesson, Maxime ;

Kain, Zeev .

ANESTHESIA AND ANALGESIA, 2014, 118 (05) :901-902

[6] Improving Health Care for Veterans - A Watershed Moment for the VA [J].

Chokshi, Dave A. .

NEW ENGLAND JOURNAL OF MEDICINE, 2014, 371 (04) :297-299

[7] Pain Management and the Perioperative Surgical Home Getting the Desired Outcome Right [J].

Cyriac, James ;

Cannesson, Maxime ;

Kain, Zeev .

REGIONAL ANESTHESIA AND PAIN MEDICINE, 2015, 40 (01) :1-2

[8] Strategies for Net Cost Reductions with the Expanded Role and Expertise of Anesthesiologists in the Perioperative Surgical Home [J].

Dexter, Franklin ;

Wachtel, Ruth E. .

ANESTHESIA AND ANALGESIA, 2014, 118 (05) :1062-1071

[9] Implementation of a Total Joint Replacement- Focused Perioperative Surgical Home: A Management Case Report [J].

Garson, Leslie ;

Schwarzkopf, Ran ;

Vakharia, Shermeen ;

Alexander, Brenton ;

Stead, Stan ;

Cannesson, Maxime ;

Kain, Zeev .

ANESTHESIA AND ANALGESIA, 2014, 118 (05) :1081-1089

[10]

Gravenstein Dietrich, 2012, Perm J, V16, P37, DOI 10.7812/TPP/12-050

← 1 2 →