The perioperative surgical home: An innovative, patient-centred and cost-effective perioperative care model

Desebbe, Olivier; Lanz, T.; Kain, Zeev N.; Cannesson, Maxime

doi:10.1016/j.accpm.2015.08.001

Cited by 65 publications

(37 citation statements)

References 37 publications

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“…Recently, the concept of PSH has been advocated as a new model for the care of surgical patients [1,2]. The American Society of Anesthesiologists strongly supports the development of PSH as the future model of anesthesia practice.…”

Section: The Role Of Pshmentioning

confidence: 99%

“…Therefore, in order to accomplish health and longevity in society, perioperative management is an important issue that needs to be resolved. A number of approaches to provide better postoperative recovery and outcome, including preoperative, intraoperative and postoperative strategies, have been applied by multidisciplinary teams [1][2][3][4]. A recent model called 'Perioperative Surgical Home' (PSH) has been established which enables surgical patients to be consulted from the time when the surgeon decides to operate and provides preoperative intervention during the waiting time for surgery.…”

Section: Introductionmentioning

confidence: 99%

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The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

2017

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Section: The Role Of Pshmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

2017

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“…Strategically preventing exacerbation of existing patient comorbidities in the perioperative setting represents one of the major goals of the BPCI and is currently a hot topic in the surgical care realm. To undertake this daunting task, administrators, physicians, and ancillary staff have come together in the few years since the implementation of the ACA to create the perioperative surgical home (PSH) model of care 41 .…”

Section: Relevance To Providers and Hospital Administratorsmentioning

confidence: 99%

“…A mélange of evidence-based practices from lean six sigma theory and its predecessor, Enhanced Recovery After Surgery (ERAS) 41 , the PSH model of care has already been shown to minimize postoperative resource utilization and costs. In 2012, University of California (UC)…”

Section: Relevance To Providers and Hospital Administratorsmentioning

confidence: 99%

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Patient comorbidities increase postoperative resource utilization after laparoscopic and open cholecystectomy

Boehme

McKinley

Brunt³

et al. 2015

Surg Endosc

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Pain management‐related assessment and communication across the care continuum: Consensus of the opioid task force of the island peer review organization pain management coalition

Juba

Triller

Myrka

et al. 2021

J Am Coll Clin Pharm

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Prescription opioid analgesics contribute to serious, preventable adverse drug events (ADEs) and despite efforts ranging from regulatory changes to quality improvement initiatives, national studies indicate that opioid‐related emergency department visits and hospitalizations are increasing amid the coronavirus disease 2019 (COVID‐19) pandemic. Effective pain management is challenging during care transitions, and system imperfections make patients vulnerable to ADEs as they leave one care setting and move to another. Therefore, the Island Peer Review Organization (IPRO) pain management coalition convened a task force to develop resources to guide improvements in opioid‐related communication during patient care transitions. Create a consensus list of requisite communication elements (RCEs) that should accompany all patients prescribed opioids as they undergo care transitions. An interprofessional task force of pain management experts was convened and completed a blinded, iterative Delphi process. After four Delphi rounds, the panel reached consensus on a pain management discharge communication (PMDC) List of 24 RCEs across the domains of opioid dosing and pain management (nine elements), factors associated with adverse drug events (nine elements), and patient education and caregiver support (six elements). During transitions of care providers need detailed information on opioid dosing, pain characteristics, risk factors for adverse events, and patient/caregiver capacity to adequately manage symptoms while avoiding potentially fatal ADEs. The PMDC list may guide the development of new clinical tools, quality measures, accreditation standards, and checklists for pharmacists involved in the delivery of opioid stewardship during a care transition. Additional work is needed to design comprehensive, interprofessional opioid stewardship programs to ensure that the requisite communication elements are consistently available at the time of a care transition.

show abstract

The perioperative surgical home: An innovative, patient-centred and cost-effective perioperative care model

Cited by 65 publications

References 37 publications

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

The role of Perioperative Surgical Home on health and longevity in society: importance of the surgical prehabilitation program

Patient comorbidities increase postoperative resource utilization after laparoscopic and open cholecystectomy

Pain management‐related assessment and communication across the care continuum: Consensus of the opioid task force of the island peer review organization pain management coalition

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