Process measures facilitate maturation of pediatric enhanced recovery protocols
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Read the article on jpedsurg.org ↗Article · May 2018 · 1 min read
In brief
In brief
Study demonstrates feasibility of tracking process measures during implementation of pediatric colorectal ERAS protocols. Analysis of 58 patients shows increased adoption of regional anesthesia and other protocol elements across implementation stages, supporting use of process metrics to guide protocol maturation.
Written by the GCMD Library team from the article.
Background/purpose
The role of process measures used to predict quality in pediatric colorectal surgery enhanced recovery protocols has not been described. The purpose of this study was to demonstrate the feasibility of abstracting and monitoring process measures over protocol improvement iteration.
Methods
Patients enrolled in the Pediatric Colorectal Enhanced Recovery After Surgery pathway at our institution were grouped by stage of implementation. We used a quality improvement database to compare multistage enhanced recovery process measures and 30-day patient outcomes.
Results
We identified 58 surgical patients with 28(48%) cases enrolled in the pathway. There was increased use of regional anesthesia techniques in pathway patients (83% versus 20%, p