Process control to measure process improvement in colorectal surgery: Modifications to an established enhanced recovery pathway

Diseases of the Colon and Rectum

Volumn 57, Issue 2, 2014, Pages 194-200

  Keller, Deborah S ^a   Stulberg, Jonah J ^a   Lawrence, Justin K ^a   Delaney, Conor P ^a  

^a UNIVERSITY HOSPITALS OF CLEVELAND   (United States)

Author keywords

Enhanced recovery pathways; Health care utilization; Laparoscopic colorectal surgery; Pain management; Process improvement

Indexed keywords

ABDOMINAL MUSCLES; ACETAMINOPHEN; ADULT; AGED; ANALGESICS, NON-NARCOTIC; ANESTHETICS, LOCAL; BUPIVACAINE; COLONIC DISEASES; CRITICAL PATHWAYS; FEMALE; HEALTH CARE COSTS; HOSPITALIZATION; HUMANS; INFUSIONS, INTRAVENOUS; LAPAROSCOPY; MALE; MIDDLE AGED; NERVE BLOCK; PAIN MANAGEMENT; PROCESS ASSESSMENT (HEALTH CARE); RECTAL DISEASES; RETROSPECTIVE STUDIES;

EID: 84893737827     PISSN: 00123706     EISSN: 15300358     Source Type: Journal    
DOI: 10.1097/DCR.0b013e3182a62c91     Document Type: Article

References (31)

1. Delaney CP, Senagore AJ, Gerkin TM, et al. Association of surgical care practices with length of stay and use of clinical protocols after elective bowel resection: Results of a national survey. Am J Surg. 2010;199:299-304 304.
2. F earon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: A consensus review of clinical care for patients undergoing colonic resection. Clin Nutr. 2005;24:466-477.
3. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg. 2002;183:630-641.
4. Kehlet H, Wilmore DW. Evidence-based surgical care and the evolution of fast-track surgery. Ann Surg. 2008;248:189-198.
5. Kehlet H. Fast-track colorectal surgery. Lancet. 2008;371:791-793.
6. King PM, Blazeby JM, Ewings P, et al. The influence of an enhanced recovery programme on clinical outcomes, costs and quality of life after surgery for colorectal cancer. Colorectal Dis. 2006;8:506-513.
7. Raue W, Haase O, Junghans T, Scharfenberg M, Müller JM, Schwenk W. 'Fast-track' multimodal rehabilitation program improves outcome after laparoscopic sigmoidectomy: A controlled prospective evaluation. Surg Endosc. 2004;18:1463-1468.
8. Wind J, Polle SW, Fung Kon Jin PH, et al; Laparoscopy and/or Fast Track Multimodal Management Versus Standard Care (LAFA) Study Group; Enhanced Recovery after Surgery (ERAS) Group. Systematic review of enhanced recovery programmes in colonic surgery. Br J Surg. 2006;93:800-809.
9. Wind J, Hofland J, Preckel B, et al. Perioperative strategy in colonic surgery; LA paroscopy and/or FA st track multimodal management versus standard care (LAFA trial). BMC Surg. 2006;6:16.
10. Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP. Enhanced recovery pathways optimize health outcomes and resource utilization: A meta-analysis of randomized controlled trials in colorectal surgery. Surgery. 2011;149:830-840.
11. Delaney CP, Zutshi M, Senagore AJ, Remzi FH, Hammel J, Fazio VW. Prospective, randomized, controlled trial between a pathway of controlled rehabilitation with early ambulation and diet and traditional postoperative care after laparotomy and intestinal resection. Dis Colon Rectum. 2003;46:851-859.
12. Delaney CP. Outcome of discharge within 24 to 72 hours after laparoscopic colorectal surgery. Dis Colon Rectum. 2008;51:181-185.
13. Delaney CP, Brady K, Woconish D, Parmar SP, Champagne BJ. Towards optimizing perioperative colorectal care: Outcomes for 1,000 consecutive laparoscopic colon procedures using enhanced recovery pathways. Am J Surg. 2012;203:353-355.
14. McDonnell JG, O'Donnell B, Curley G, Heffernan A, Power C, Laffey JG. The analgesic efficacy of transversus abdominis plane block after abdominal surgery: A prospective randomized controlled trial. Anesth Analg. 2007;104:193-197.
15. Zafar N, Davies R, Greenslade GL, Dixon AR. The evolution of analgesia in an 'accelerated' recovery programme for resectional laparoscopic colorectal surgery with anastomosis. Colorectal Dis. 2010;12:119-124.
16. M emis D, Inal MT, Kavalci G, Sezer A, Sut N. Intravenous paracetamol reduced the use of opioids, extubation time, and opioid-related adverse effects after major surgery in intensive care unit. J Crit Care. 2010;25:458-462.
17. Sinatra RS, Jahr JS, Reynolds LW, Viscusi ER, Groudine SB, Payen- Champenois C. Efficacy and safety of single and repeated administration of 1 gram intravenous acetaminophen injection (paracetamol) for pain management after major orthopedic surgery. Anesthesiology. 2005;102:822-831.
18. Centers for Medicare and Medicaid Services. Acute Inpatient PPS. Available at: . Accessed April 25, 2013.
19. Favuzza J, Delaney CP. Laparoscopic-guided transversus abdominis plane block for colorectal surgery. Dis Colon Rectum. 2013;56:389-391.
20. I ngraham AM, Richards KE, Hall BL, Ko CY. Quality improvement in surgery: The American College of Surgeons National Surgical Quality Improvement Program approach. Adv Surg. 2010;44:251-267.
21. Gordon LG, Obermair A. Potential hospital cost-savings attributed to improvements in outcomes for colorectal cancer surgery following self-audit. BMC Surg. 2010;10:4.
22. Wallner LP, Dunn RL, Sarma AV, Campbell DA Jr, Wei JT. Risk factors for prolonged length of stay after urologic surgery: The National Surgical Quality Improvement Program. J Am Coll Surg. 2008;207:904-913.
23. Varadhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trials. Clin Nutr. 2010;29:434-440.
24. T eeuwen PH, Bleichrodt RP, Strik C, et al. Enhanced recovery after surgery (ERAS) versus conventional postoperative care in colorectal surgery. J Gastrointest Surg. 2010;14:88-95.
25. Spanjersberg WR, Reurings J, Keus F, van Laarhoven CJ. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011;(2):CD007635.
26. Ren L, Zhu D, Wei Y, et al. Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: A prospective randomized controlled trial. World J Surg. 2012;36:407-414.
27. Fiore JF Jr, Browning L, Bialocerkowski A, Gruen RL, Faragher IG, Denehy L. Hospital discharge criteria following colorectal surgery: A systematic review. Colorectal Dis. 2012;14:270-281.
28. Delaney CP, Fazio VW, Senagore AJ, Robinson B, Halverson AL, Remzi FH. 'Fast track' postoperative management protocol for patients with high co-morbidity undergoing complex abdominal and pelvic colorectal surgery. Br J Surg. 2001;88:1533-1538.
29. Delaney CP, Kiran RP, Senagore AJ, Brady K, Fazio VW. Case-matched comparison of clinical and financial outcome after laparoscopic or open colorectal surgery. Ann Surg. 2003;238:67-72.
30. Lawrence JK, Keller DS, Samia H, et al. Discharge within 24 to 72 hours of colorectal surgery is associated with low readmission rates when using Enhanced Recovery Pathways. J Am Coll Surg. 2013;216:390-394.
31. Fry DE, Pine M, Jones BL, Meimban RJ. Control charts to identify adverse outcomes in elective colon resection. Am J Surg. 2012;203:392-396.