November 1, 2016

Effectiveness of PSH model in pediatric settings

By: Judy Mathias
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Editor's Note

Use of the Perioperative Surgical Home (PSH) model in patients with adolescent idiopathic scoliosis undergoing posterior spinal fusion improved surgical outcomes, this study finds.

A multidisciplinary group created evidence-based protocols for preoperative, postoperative, and postdischarge patient care. Anesthesiologist comanagement of patients also allowed a new pathway for patients to recover in the PACU and reduce use of intensive care.

The spinal fusion PSH achieved a significant reduction in length of stay and reduced perioperative transfusions.

 

BACKGROUND: The Perioperative Surgical Home (PSH) is a patient-centered, team-based approach that aims to improve the value of perioperative care. We implemented a PSH for patients with adolescent idiopathic scoliosis who were undergoing posterior spinal fusion at Children's National Health Syste...

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