摘要
加速康复外科(enhanced recovery after surgery,ERAS)不仅是一个以证据为基础的围术期干预措施的集合,更是多学科协作模式和组织制度的高度创新。作者对国内外ERAS推行的组织构架与服务流程研究现状进行综述,阐述了加速康复多学科团队(ERAS-MDT)组建模式和管理运行制度,探讨了团队内部与团队间的沟通机制以加强ERAS-MDT沟通协作,强调了合理进行ERAS-MDT人力资源配置以减轻成员工作负荷;同时回顾了标准化的临床路径以助力围术期各个环节的衔接,通过ERAS模式的质量控制和质量改进措施以期进一步规范ERAS服务流程,为ERAS的高效运行护航。
Enhanced recovery after surgery(ERAS)is not only an evidence-based set of perioperative interventions,but also a highly innovative multidisciplinary collaboration model and organizational system.The authors reviewed the research status of the organizational structure and service process of ERAS at home and abroad,elaborated the establishment mode and management operation system of ERAS-multidisciplinary team(ERAS-MDT),discussed the communication mechanism between the teams to strengthen the communication and cooperation of ERAS-MDT,and emphasized the reasonable allocation of human resources of ERAS-MDT to reduce the workload of members.At the same time,the authors reviewed the standardized clinical pathway to facilitate the connection of all aspects during the perioperative period,and through the quality control and quality improvement measures of ERAS mode,the authors hope to further standardize the ERAS service process and escort the efficient operation of ERAS.
作者
廖曦
冯金华
徐裕杰
李卡
Liao Xi;Feng Jinhua;Xu Yujie;Li Ka(West China School of Nursing,Sichuan University/West China Hospital,Sichuan University,Chengdu 610041,China;West China Hospital,Sichuan University,Chengdu 610041,China;School of Public Health,Sichuan University,Chengdu 610041,China)
出处
《中华医院管理杂志》
CSCD
北大核心
2021年第3期225-228,共4页
Chinese Journal of Hospital Administration
基金
国家自然科学基金(71974135)。
关键词
加速康复外科
组织构架
服务流程
多学科团队
质量控制
Enhanced recovery after surgery
Organizational structure
Service process
Multidisciplinary team
Quality control
