The Routine posTsuRgical Anesthesia visit to improve patient outComE (TRACE) study: lessons learned

Hollmann, Markus W.; Boer, Dianne de Korte-de; Boer, Christa; Buhre, W.; Stolze, A; Posthuma, Linda M.; Smit-Fun, Valérie; Kuijk, Sander van; Noordzij, Peter G.; Rinia, Myra; Hering, Jens-Peter; Veld, Bas in ‘t; Scheffer, Gert-Jan; Dirksen, Carmen D.; Boermeester, Marja A.; Bonjer, Jaap; Dejong, C. H. C.; Breel, Jennifer S.; Bouw, Tijn P. W. J. M.; Dijk, Frank van; Geurts, José W. J. M.; Glas, W. W.; Gorp, R. van; Jwair, A.; Koca, Fatih; Lange, Isabelle; Preckel, Benedikt; Roy, Jeff; Theunissen, MM; Wensing, Agnes G.C.L.; Werger, A.

doi:10.1016/j.bja.2021.07.011

Cited by 4 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The health economic concept of ‘value’ is defined as health outcomes (that matter to patients) achieved per dollar spent [ 65 , 66 ] It offers a financial incentive for value-based interventions. Surprisingly, patient-centered metrics were rare among published clinical indicators [ 44 ] and missing as study endpoints [ 67 ] or in clinical indicator sets [ 68 ].…”

Section: Patient Views As the Essential Perspective: Patient-reported...mentioning

confidence: 99%

“…For example, the postoperative follow-up period used for assessing mortality may range from 24 h [ 41 ▪▪ , 76 ], 72 h [ 79 ], until discharge from the PACU [ 85 ], until hospital discharge (up to 30 days) [ 87 ▪ ], 30 days, or 90 days [ 68 ] (see Table 1 ). Furthermore, the validity of indicator sets may be limited if important aspects of care are not represented, for example, if patient-centered metrics are underrepresented in existing indicator sets or as study endpoints [ 44 , 67 , 68 ].…”

Section: Challenges In Establishing a Routine Core Set Of Perioperati...mentioning

confidence: 99%

See 1 more Smart Citation

Quality indicators for anesthesia and perioperative medicine

Wacker

2023

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Purpose of reviewRoutine monitoring of care quality is fundamental considering the high reported rates of preventable perioperative morbidity and mortality. However, no set of valid and feasible quality indicators is available as the gold standard for comprehensive routine monitoring of the overall quality of perioperative care. The purpose of this review is to describe underlying difficulties, to summarize current trends and initiatives and to outline the perspectives in support of suitable perioperative quality indicators.Recent findingsMost perioperative quality indicators used in the clinical setting are based on low or no evidence. Evidence-based perioperative quality indicators validated for research purposes are not always applicable in routine care. Developing a core set of perioperative quality indicators for clinical practice may benefit from matching feasible routine indicators with evidence-based indicators validated for research, from evaluating additional new indicators, and from including patients’ views.SummaryA core set of valid and feasible quality indicators is essential for monitoring perioperative care quality. The development of such a set may benefit from matching evidence-based indicators with feasible standard indicators and from including patients’ views.

show abstract

Section: Patient Views As the Essential Perspective: Patient-reported...mentioning

confidence: 99%

Section: Challenges In Establishing a Routine Core Set Of Perioperati...mentioning

confidence: 99%

Quality indicators for anesthesia and perioperative medicine

Wacker

2023

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

show abstract

“…Furthermore, the study showed that there was still room for improvement as could be seen by the significant number of recommendations made by the anaesthesiologist: a substantial part of these recommendations was not followed up by ward staff. For future research, it is recommended that the postoperative anaesthesia visit should be embedded into routine surgical rounds, facilitating adequate effectuation of anaesthesiologist's recommendations [ 73 ].…”

Section: Initiatives To Detect and Prevent Death From Perioperative D...mentioning

confidence: 99%

Initiatives to detect and prevent death from perioperative deterioration

Posthuma,

Preckel

2023

Current Opinion in Anaesthesiology

Self Cite

View full text Add to dashboard Cite

Purpose of review This study indicates that there are differences between hospitals in detection, as well as in adequate management of postsurgical complications, a phenomenon that is described as ‘failure-to-rescue’. In this review, recent initiatives to reduce failure-to-rescue in the perioperative period are described. Recent findings Use of cognitive aids, emergency manuals, family participation as well as remote monitoring systems are measures to reduce failure-to-rescue situations. Postoperative visit of an anaesthesiologist on the ward was not shown to improve outcome, but there is still room for improvement of postoperative care. Summary Improving the complete emergency chain, including monitoring, recognition and response in the afferent limb, as well as diagnostic and treatment in the efferent limb, should lead to reduced failure-to-rescue situations in the perioperative period.

show abstract

Opioid-free anesthesia

Schiessler,

Leffler

2024

Anaesthesiologie

View full text Add to dashboard Cite

The Routine posTsuRgical Anesthesia visit to improve patient outComE (TRACE) study: lessons learned

Cited by 4 publications

References 9 publications

Quality indicators for anesthesia and perioperative medicine

Quality indicators for anesthesia and perioperative medicine

Initiatives to detect and prevent death from perioperative deterioration

Opioid-free anesthesia

Contact Info

Product

Resources

About