TY - JOUR
T1 - An analysis of methodologies that can be used to validate if a perioperative surgical home improves the patient-centeredness, evidence-based practice, quality, safety, and value of patient care
AU - UAB Perioperative Surgical Home Group
AU - Vetter, Thomas R.
AU - Ivankova, Nataliya V.
AU - Goeddel, Lee A.
AU - McGwin, Gerald
AU - Pittet, Jean Francois
PY - 2013/12/1
Y1 - 2013/12/1
N2 - Approximately 80 million inpatient and outpatient surgeries are performed annually in the United States. Widely variable and fragmented perioperative care exposes these surgical patients to lapses in expected standard of care, increases the chance for operational mistakes and accidents, results in unnecessary and potentially detrimental care, needlessly drives up costs, and adversely affects the patient healthcare experience. The American Society of Anesthesiologists and other stakeholders have proposed a more comprehensive model of perioperative care, the Perioperative Surgical Home (PSH), to improve current care of surgical patients and to meet the future demands of increased volume, quality standards, and patient-centered care. To justify implementation of this new healthcare delivery model to surgical colleagues, administrators, and patients and maintain the integrity of evidenced-based practice, the nascent PSH model must be rigorously evaluated. This special article proposes comparative effectiveness research aims or objectives and an optimal study design for the novel PSH model.
AB - Approximately 80 million inpatient and outpatient surgeries are performed annually in the United States. Widely variable and fragmented perioperative care exposes these surgical patients to lapses in expected standard of care, increases the chance for operational mistakes and accidents, results in unnecessary and potentially detrimental care, needlessly drives up costs, and adversely affects the patient healthcare experience. The American Society of Anesthesiologists and other stakeholders have proposed a more comprehensive model of perioperative care, the Perioperative Surgical Home (PSH), to improve current care of surgical patients and to meet the future demands of increased volume, quality standards, and patient-centered care. To justify implementation of this new healthcare delivery model to surgical colleagues, administrators, and patients and maintain the integrity of evidenced-based practice, the nascent PSH model must be rigorously evaluated. This special article proposes comparative effectiveness research aims or objectives and an optimal study design for the novel PSH model.
UR - http://www.scopus.com/inward/record.url?scp=84894340554&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894340554&partnerID=8YFLogxK
U2 - 10.1097/ALN.0b013e3182a8e9e6
DO - 10.1097/ALN.0b013e3182a8e9e6
M3 - Article
C2 - 24005578
AN - SCOPUS:84894340554
SN - 0003-3022
VL - 119
SP - 1261
EP - 1274
JO - Anesthesiology
JF - Anesthesiology
IS - 6
ER -