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.

Thomas R. Vetter, Nataliya V. Ivankova, Lee Goeddel, Gerald McGwin, Jean Francois Pittet, Perioperative Surgical Home Group UAB Perioperative Surgical Home Group

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1261-1274
Number of pages14
JournalAnesthesiology
Volume119
Issue number6
StatePublished - Dec 1 2013
Externally publishedYes

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Anatomic Models
Evidence-Based Practice
Perioperative Care
Patient Care
Safety
Comparative Effectiveness Research
Delivery of Health Care
Patient-Centered Care
Standard of Care
Administrative Personnel
Ambulatory Surgical Procedures
Accidents
Inpatients
Costs and Cost Analysis

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

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. / Vetter, Thomas R.; Ivankova, Nataliya V.; Goeddel, Lee; McGwin, Gerald; Pittet, Jean Francois; UAB Perioperative Surgical Home Group, Perioperative Surgical Home Group.

In: Anesthesiology, Vol. 119, No. 6, 01.12.2013, p. 1261-1274.

Research output: Contribution to journalArticle

Vetter, Thomas R. ; Ivankova, Nataliya V. ; Goeddel, Lee ; McGwin, Gerald ; Pittet, Jean Francois ; UAB Perioperative Surgical Home Group, Perioperative Surgical Home Group. / 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. In: Anesthesiology. 2013 ; Vol. 119, No. 6. pp. 1261-1274.
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