Wanting to improve is not always the same as knowing how to improve—an example from a total knee arthroplasty pathway

BMJ Open Quality

article

Thomas W Wainwright¹  James Craig³ 

[1] Orthopaedic Research Institute , Bournemouth University;Physiotherapy Department , University Hospitals Dorset NHS Foundation Trust;Anaesthetic Department , University Hospitals Dorset NHS Foundation Trust

关键词: anaesthesia;    quality improvement;    surgery;    healthcare quality improvement;   

DOI  :  10.1136/bmjoq-2020-001019

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

Enhanced recovery after surgery (ERAS) (orenhanced recovery or fast-track) protocolsfor total knee arthroplasty (TKA) can beconsidered a quality improvement (QI) intervention, that is, their implementation may bedefined as a purposeful effort to improve careprocesses that will result in improved patientoutcomes.1 ERAS protocols are a multimodalapproach that improves the quality of patientcare, including reducing length of stay (LOS)for TKA.2 ERAS protocols seek to optimisethe perioperative pathway by using andcombining techniques such as minimally invasive surgery, regional anaesthetic techniques,multimodal opioid sparing pain managementand early mobilisation. ERAS protocols havebeen detailed and include procedure-specificguidelines for TKA.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND