Advancing care coordination & patient and family engagement in pediatric surgery through enhanced recovery after surgery® protocols

Jennifer Y Lam, Natashia M Seemann
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Abstract

The uptake of pediatric Enhanced Recovery After Surgery (ERAS®) protocols has gradually increased over the years. While many teams have accepted ERAS® protocols for their improvement in clinical outcomes, there are further domains of care that may be strengthened by the adoption of ERAS®. Enhanced Recovery After Surgery® principles provide the framework for coordinating care among the increasingly complex clinical team required to look after pediatric patients. Engaging our pediatric patients and their families throughout the ERAS® process has multiple benefits. Involving patients in the development and implementation process of ERAS® protocols creates more robust guidelines. In addition, engaged patients have greater compliance to recommendations and improved outcomes. The adoption of pediatric ERAS® guidelines enhances pediatric surgical outcomes, establishes strong teamwork, communication and care coordination and reinforces the patient and family needs as a top priority.

通过加强术后恢复®规程促进儿科手术中的护理协调和患者及家属参与
多年来,儿科术后恢复强化方案(ERAS®)的使用率逐渐提高。虽然许多团队已经接受了ERAS®方案,因为它能改善临床效果,但采用ERAS®还能加强其他护理领域。术后恢复强化®原则为日益复杂的儿科临床团队提供了协调护理的框架。让儿科患者及其家属参与 ERAS® 的整个过程具有多重益处。让患者参与 ERAS® 方案的制定和实施过程,可以制定出更有力的指导原则。此外,参与其中的患者对建议的依从性更高,治疗效果更好。采用儿科 ERAS® 指南可提高儿科手术效果,建立强大的团队合作、沟通和护理协调,并将患者和家属的需求作为重中之重。
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