Kolarczyk LM, McNaull P, Hance L, Bednar P, Kim HJ, Isaak DO
Implementation of an Enhanced Recovery After Surgery (ERAS) Clinical Pathway Using Lean Six Sigma Principles: A Framework for Ongoing Quality Improvement
Co-Authors
Citation
Lavinia Kolarczyk, Implementation of an Enhanced Recovery After Surgery (ERAS) Clinical Pathway Using Lean Six Sigma Principles: A Framework for Ongoing Quality Improvement(2016)SDRP Journal Of Anesthesia & Surgery 1(2)
Abstract
Enhanced Recovery after Surgery (ERAS) clinical pathways are quality improvement initiatives that employ evidence-based recommendations to standardize perioperative care and improve patient outcomes. ERAS clinical pathways have been shown to decrease hospital length of stay in a variety of surgical patient populations including major abdominal surgery.
ERAS clinical pathways encompass multiple patient care areas and multiple disciplines, which can make design and implementation challenging. Lean Six Sigma (LSS) methodology provides a framework for design and implementation of quality improvement processes such as ERAS clinical pathways. LSS principles focus on patient-centered, multidisciplinary approaches to improve patient care. Additionally, LSS principles emphasize continuous quality improvement and sustainability. LSS was therefore the vehicle for successful design and implementation of an ERAS clinical pathway for pancreatic surgery at our institution.
References
Adebayo, E.A. Oloke, J.K. Ayandele, A.A. Adegunlola. C.O. 2012. Phytochemical, antioxidant and antimicrobial assay of mushroom metabolite from Pleurotus pulmonarius. J. Microbiol. Biotech. Res., 2 (2): 366-374.
Barros, L. Falc?o, S. Baptista, P. Freire, C. Vilas-Boas, M. Ferreira, I.C.F.R. 2008. Antioxidant activity of Agaricus sp. mushrooms by chemical, biochemical and electrochemical assays. J. Food Chem., 111: 61?66.
View ArticleBaskar, R. Lavanya, R. Mayilvizhi, S. Rajasekaran, P. 2008. Free radical scavenging activity of antitumour polysaccharide fractions isolated from Ganoderma lucidum (Fr.) P. karst. J Natur prod radiance., 7(4): 320-325.
Blanchette, R.A. Burnes, T.A. Leatham, G.F. Effland, M.J. 1988. Selection of White-rot Fungi for Biopulping. Biomass., 15 : 93-101. 90099-6
View ArticleBrand-Williams, W. Cuvelier, M.E. Berset, C. 1995. Use of free radical method to evaluate antioxidant activity. Lebensm Wiss Technology., 28: 25-30. 80008-5
View ArticleBray, H.G. and Thrope, W.V. 1954. Analysis of phenolic compounds of interest in metabolism. Meth. Biochem. Anal., 1: 27-52. PMid:13193524
View Article PubMed/NCBIChang, C. Yang, M. Wen, H. Chern, J. 2002. Estimation of total flavonoid content in propolis by two complementary colorimetric methods. J Food and Drug Anal., 10:178-182.
Chang, H. Ho, Y. Sheu, M. Lin, Y. Tseng, M. Wu, S. Huang, G. Chang, Y. 2007. Antioxidant and free radical scavenging activities of Phellinus merrillii extracts. Bot Stud., 48: 407-417.
Diaz, P. Jeong, S.C. Lee, S. Khoo, C. Koyyalamudi, S.R. 2012. Antioxidant and anti-inflammatory activities of selected medicinal plants and fungi containing phenolic and flavonoid compounds. Chinese Medicine., 7: 26-35. PMid:23176585 PMCid:PMC3577437
View Article PubMed/NCBIFernando, M.D.M., Wijesundera R.L.C., Soysa S.S.B.D.P., de Silva E.D., Nanayakkara C.M., (2015). In vitro cytotoxicity and antioxidant activity of the Sri Lankan Basidiomycete, Anthracophyllum lateritium. BMC Complementary and Alternative Medicine. 15: 398-407. DOI 10.1186/s12906-015-0924-9.
View ArticleFolin, O. Ciocalteu, V. 1927. On tyrosine and tryptophan determination in proteins. J Biol and Chem., 27: 627-650.
Jaszek, M. OsiNska-Jaroszuk, M. Janusz, G. Matuszewska, A. Stefaniuk, D. Sulej, J. Polak, J. Ruminowicz, M. Grzywnowicz, K. Jarosz-WilkoBazka, A. 2013. New bioactive fungal molecules with high antioxidant and antimicrobial capacity isolated from Cerrena unicolor idiophasic Cultures. BioMed Research International., 2013: 1-11. PMid:23936810 PMCid:PMC3727119
View Article PubMed/NCBIKarunarathna, S.C. Udayanga, D. Maharachchikumbura, S.N. Pilkington, M. Manamgoda, D.S. Wijayawardene, D.N.N. Ariyawansa, H.A. Bandara, A.R. Chukeatirote, E. McKenzie, E.H.C. Hyde, K.D. 2012. Current status of knowledge of Sri Lankan mycota. Current Research in Environmental & Applied Mycology., 2(1):18-29.
Keles, A. Koca, I. Gen?celep, H. 2011. Antioxidant properties of wild edible mushrooms. J Food Process Technol., 2:1-6.
Menikpurage, I.P. Soysa, S.S.S.B.D.P. Abeytunga, D.T.U. (2012). Antioxidant activity and cytotoxicity of the edible mushroom, Pleurotus cystidiosus against Hep-2 carcinoma cells. J NSF, 40(2):107-114.
View ArticleNahata, A. (2013). Ganoderma lucidum: A Potent Medicinal Mushroom with Numerous Health Benefits Pharmaceut Anal Acta, 4(10): 1000e159.
Raghukumar, C. Rivonkar, G. 2001. Decolorization of molasses spent wash by the white-rot fungus Flavodon flavus, isolated from a marine habitat. Applied Microbiol and Biotech., 55(4), 510-514. PMid:11398935
View Article PubMed/NCBIRam?rez-Anguiano, A.C. Santoyo, S. Reglero, G. Soler-Rivas, C. 2007. Radical scavenging activities, endogenous oxidative enzymes and total phenols in edible mushrooms commonly consumed in Europe. J Sci Food Agric., 87: 2272?2278.
View ArticleRavipati, A.S. Zhang, L. Koyyalamudi, S.R. Jeong, S.C. Reddy, N. Bartlett, J. Smith, P.T. Shanmugam, K. M?nch. G, Wu, M.J. Satyanarayanan, M. Vysetti, B. 2012. Antioxidant and anti-inflammatory activities of selected Chinese medicinal plants and their relation with antioxidant content. BMC Comp and Alter Med., 12:173-187.
View ArticleRawat, A. Mohsin, M. Negi, PS. Sah, AN. Singh, S. 2013. Evaluation of polyphenolic contents and antioxidant activity of wildly collected Ganoderma lucidum from central Himalayan hills of India. Asian J Plant Sci Res., 3(3): 85-90.
Samarakoon, K. Lee, j. De Silva, E.D. Kim, E. Wijesundara, R.L.C. Lakmal, H.H.C. Jeon, Y. 2013. Bioactivity evaluation of organic solvent extractions of Ganoderma lucidum: a Sri Lankan basidiomycete. J.Natn.Sci.Foundation Sri Lanka., 41 (3): 249-257.
View Article