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.
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Journal articlePermalink
http://hdl.handle.net/10161/13946Published Version (Please cite this version)
10.1186/s13741-017-0062-7Publication Info
(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 http://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
Elliott Bennett-Guerrero
Professor of Anesthesiology
Elliott Bennett-Guerrero M.D. is professor of anesthesiology at Duke University,
director of Perioperative Clinical Research at the Duke Clinical Research Institute
(DCRI), and chair of the Research Council in the Department of Anesthesiology, which
oversees and guides all departmental research. He also plays an active role in the
School of Medicine, and recently sat on the Selection Committee for the Duke School
of Medicine CTSA/Duke Transl
This author no longer has a Scholars@Duke profile, so the information shown here reflects
their Duke status at the time this item was deposited.
Tong Joo Gan
Consulting Professor in the Department of Anesthesiology
My current research interests include postoperative nausea and vomiting (PONV), acute
postoperative pain, clinical pharmacology of anesthetic drugs and resuscitation fluids
as well as database research in postoperative outcomes. Improving Outcome in Surgical
Patients: Nausea and vomiting is regarded as one of the most unpleasant experiences
in postoperative recovery. To date, there is no single antiemetic which can satisfactorily
control PONV. My interests concentrate o
This author no longer has a Scholars@Duke profile, so the information shown here reflects
their Duke status at the time this item was deposited.
Thomas Joseph Hopkins
Assistant Professor of Anesthesiology
I am a physician leader with advanced degrees in clinical informatics for business
administration and physician executive leadership, as well as international experience
speaking, writing and leading quality, clinical informatics, and value-based care
initiatives. My career objective is to work with multidisciplinary life science and
medical device teams to define, develop and disseminate the real world evidence, data
science tools and innovative care-delivery solutions necessary to improve heal
Timothy Ellis Miller
Associate 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.
Michael Gerard Mythen
Adjunct Professor in the Department of Anesthesiology
Main area of research interest is the role of gut mucosal hypoperfusion in the pathogenesis
of post-operative organ dysfunction. On-going projects include: i) the effects of
temperature on gut perfusion during cardiopulmonary by-pass, ii) the relationship
between cerebral and splanchnic hypoperfusion during cardiac surgery, iii) the relationship
between gut mucosal hypoperfusion and outcome in patients admitted for surgical intensive
care, iv) the effects of enteral feeding on gut perfusion and
Andrew David Shaw
Adjunct Associate Professor in the Department of Anesthesiology
Dr Shaw is an Associate Professor of Anesthesiology and Critical Care Medicine at
Duke University Medical Center. He is a Fellow of the Royal College of Anaesthetists
(UK) and a Fellow of the American College of Critical Care Medicine. He has practiced
cardiothoracic anesthesiology and critical care medicine for more than 15 years in
the UK and USA, has authored 3 textbooks and more than 100 original papers. He currently
runs the iPEGASUS initiative, an international surgical outcomes conso
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