Enhanced recovery protocol: implementation at a county institution with limited resources.
作者： Kais Rona , J. Choi , G. Sigle , S. Kidd , G. Ault
DOI: 10.1177/000313481207801006
关键词:
摘要: The benefits of an enhanced recovery protocol (ERP) in colorectal surgery have been well described; however, data on the implementation process is minimal, especially a resource-limited institution. purpose this study was to evaluate outcomes during physician-driven ERP at public-funded We retrospectively reviewed all elective transition from standard care (implemented via order sheet). Data regarding use plan, length stay (LOS), and rates postoperative complications readmission were recorded. One hundred eleven patients included study; complete after its introduction occurred total 50 for compliance rate 60 per cent (95% confidence interval [CI], 49 70). Late diet, analgesics, activity most common errors. Full application reduced mean LOS by 3 days (P=0.002), there trend toward decreased morbidity without increase (P=0.61). faces many challenges county institution; when fully applied, safely overall LOS, which important cost containment.
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