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Multimodal multidisciplinary standardization of perioperative care: still a long way to go.

机译:围手术期护理的多模式,多学科标准化:还有很长的路要走。

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PURPOSE OF REVIEW: The complexity of the perioperative care process has resulted in a suboptimal use of resources, quality problems and a relatively high incidence of errors. In an attempt to optimize resources, patient safety, and quality, multimodal, multidisciplinary standardization of the care process has become an increasingly recognized goal. RECENT FINDINGS: The anaesthesiologist as perioperative clinician plays a pivotal role in the development and implementation of standardized perioperative care. Historically, however, a significant portion of perioperative care has relied upon anecdotal information that represents an amalgam of any individual anaesthesiologist's collective influences and experiences. Current status of standardized perioperative care and different factors that influence successful implementation of guidelines, fast track surgery programs and clinical pathways are described. SUMMARY: Although recent literature indicates that standardization of perioperative care improves efficiency, quality, and patient satisfaction, implementation of standardized care is difficult since resistance is still enormous.
机译:审查目的:围手术期护理过程的复杂性导致资源使用不足,质量问题和错误发生率相对较高。为了优化资源,患者安全和质量,护理过程的多模式,多学科标准化已成为越来越多的公认目标。最新发现:麻醉师作为围手术期临床医生在标准化围手术期护理的开发和实施中起着举足轻重的作用。但是,从历史上看,围手术期护理的很大一部分都依赖于轶事信息,这些信息代表了任何麻醉专家的集体影响和经验。描述了标准化围手术期护理的现状以及影响成功实施指南,快速手术方案和临床途径的不同因素。简介:尽管最近的文献表明围手术期护理的标准化提高了效率,质量和患者满意度,但由于抵抗力仍然很大,因此实施标准化护理很困难。

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