Perioperative medicine literature review
Reviewing recent peer-reviewed and grey literature will help us to identify the most effective perioperative care models, and inform future education and service delivery.
In 2018, we commissioned a review of recent peer-reviewed and grey literature to better identify the co-ordinated perioperative care models that are effective in improving patient outcomes and cost efficiency.
The review also explored models of postgraduate education and training for health practitioners for co-ordinated perioperative care that have been identified in the literature; and the implications for postgraduate education and training of health practitioners that could be identified in the literature.
While no specific model was superior to another, there was clear evidence that a coordinated and collaborative multidisciplinary and multifaceted model of care is effective in providing clinical benefits and reduces costs.
The core elements for success are: close working relationship (leadership, team work and communication), clear protocols, documentation and compliance with those protocols, audit and importantly, patient-centred care.
In 2019, a second literature explored the economic benefit of perioperative medicine, models of prehabilitation, choosing the right patient for ICU and audit, monitoring and benchmarking.