Surgical care is a team sport: comment on 'Association between implementation of a medical team training program and surgical morbidity'.

摘要

Quality improvement is the Holy Grail for those administering surgical programs. It benefits patients by reducing complications and enhancing recovery and saves resources for the health care system. Holte and Kehlet1 have used the term fast track surgery to describe an approach whereby clinical pathways are defined for specific surgical procedures by creating high-level evidence to support each step in the process of surgical care. In this concept, surgeons work collaboratively with anesthesiologists, nurses, nutritionists, and physical therapists to develop and manage the perioperative care. Each step in the care map is based on evidence and evaluated prospectively. As a result, surgical dogma is being replaced by evidence-based surgical practice.