American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative (POQI) joint consensus statement on measurement to maintain and improve quality of enhanced recovery pathways for elective colorectal surgery.
Abstract
BACKGROUND: This article sets out a framework for measurement of quality of care relevant
to enhanced recovery pathways (ERPs) in elective colorectal surgery. The proposed
framework is based on established measurement systems and/or theories, and provides
an overview of the different approaches for improving clinical monitoring, and enhancing
quality improvement or research in varied settings with different levels of available
resources. METHODS: Using a structure-process-outcome framework, we make recommendations
for three hierarchical tiers of data collection. DISCUSSION: Core, Quality Improvement,
and Best Practice datasets are proposed. The suggested datasets incorporate patient
data to describe case-mix, process measures to describe delivery of enhanced recovery
and clinical outcomes. The fundamental importance of routine collection of data for
the initiation, maintenance, and enhancement of enhanced recovery pathways is emphasized.
Type
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https://hdl.handle.net/10161/13946Published Version (Please cite this version)
10.1186/s13741-017-0062-7Publication Info
Moonesinghe, S Ramani; Grocott, Michael PW; Bennett-Guerrero, Elliott; Bergamaschi,
Roberto; Gottumukkala, Vijaya; Hopkins, Thomas J; ... Perioperative Quality Initiative
(POQI) I Workgroup (2017). American Society for Enhanced Recovery (ASER) and Perioperative Quality Initiative
(POQI) joint consensus statement on measurement to maintain and improve quality of
enhanced recovery pathways for elective colorectal surgery. Perioper Med (Lond), 6. pp. 6. 10.1186/s13741-017-0062-7. Retrieved from https://hdl.handle.net/10161/13946.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Timothy Ellis Miller
Professor of Anesthesiology
Clinical and research interests are Enhanced Recovery and Perioperative Medicine;
with particular interests in fluid management, and perioperative optimization of the
high-risk non-cardiac surgery patient.

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