Process measures facilitate maturation of pediatric enhanced recovery protocols

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. Patients enrolled...

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Bibliographic Details
Published in:Journal of pediatric surgery 2018-11, Vol.53 (11), p.2266-2272
Main Authors: Leeds, Ira L., Ladd, Mitchell R., Sundel, Margaret H., Fannon, Melissa L., George, Jessica A., Boss, Emily F., Jelin, Eric B.
Format: Article
Language:English
Subjects:
Child
Colorectal surgery
Colorectal Surgery - standards
Colorectal Surgery - statistics & numerical data
Enhanced recovery after surgery
Humans
Outcome assessment
Outcome Assessment, Health Care
Postoperative Complications
Process assessment
Process Assessment, Health Care
Quality Improvement
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Summary: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. 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. 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 
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2018.04.037