il medico internista = sa tutto ma non sa fare niente...
il chirurgo = sa fare tutto ma non sa niente....
il medico anatomo-patologo = sa tutto e sa fare tutto ma arriva sempre tardi...
il medico anestesista-rianimatore = mette un tubo in ogni buco naturale e ne fa di nuovi, si serve del sapere degli altri medici, a volte fa da se' come i dilettanti allo sbaraglio.......
il medico legale = non e' ne' avvocato ne' medico......si serve degli altri medici....
.....per servire gli avvocati...
...
sabato, gennaio 01, 2011
venerdì, dicembre 31, 2010
ERAS-Enhanced Recovery After Surgery (ERAS = Fast Track Surgery)
ERAS web site
ERAS society
.........................................
Use of the ERAS pathway has been shown to:
reduce care time by more than 30% and
reduce postoperative complications by up to 50%.[1]
[1] Varandhan, KK et al. The enhanced recover after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized trials. Clin. Nutr 2010.
.........................................................
2010 The ERAS Society was formed in Stockholm, Sweden
.................................................................
....il progresso non si puo' fermare, al massimo si puo' rallentare!
...ERAS=Fast Track Surgery...
...
perche' Fast Track Surgery
...
.....but the implementation is sometimes not simple!
...
ERAS society
.........................................
Use of the ERAS pathway has been shown to:
reduce care time by more than 30% and
reduce postoperative complications by up to 50%.[1]
[1] Varandhan, KK et al. The enhanced recover after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized trials. Clin. Nutr 2010.
.........................................................
2010 The ERAS Society was formed in Stockholm, Sweden
.................................................................
....il progresso non si puo' fermare, al massimo si puo' rallentare!
...ERAS=Fast Track Surgery...
...
perche' Fast Track Surgery
...
.....but the implementation is sometimes not simple!
...
mercoledì, dicembre 29, 2010
NOTSS, per specializzandi in chirurgia generale
NOTSS
Development of the NOTSS (Non-Technical Skills for Surgeons) behaviour rating system.
Non-technical skills are defined as “Behavioural aspects of performance in the operating
theatre which underpin medical expertise, use of equipment and drugs”. They are the
cognitive and interpersonal skills which underpin clinical and technical skills and are
requirements for a competent surgeon1.
The NOTSS system was developed and tested under funding from the Royal College of Surgeons of Edinburgh and NHS Education for Scotland, from 2003-2007. The project was run by the University of Aberdeen, with a steering group of surgeons, psychologists and an anaesthetist.
...............................................................................
The aim of the NOTSS project was to develop and test an educational system for assessment and training based on observed skills in the intraoperative phase of surgery. The system was developed from the bottom up with subject matter experts (consultant surgeons), instead of adapting existing frameworks used in other industries. We thought it was important to understand the unique aspects of non-technical skills in surgery, and not to assume that the non-technical
skills identified for pilots, nuclear power controllers or anaesthetists would be exactly
mirrored in surgeons. The NOTSS system is in surgical language for suitably trained surgeons
................................................................................
Development of the NOTSS (Non-Technical Skills for Surgeons) behaviour rating system.
Non-technical skills are defined as “Behavioural aspects of performance in the operating
theatre which underpin medical expertise, use of equipment and drugs”. They are the
cognitive and interpersonal skills which underpin clinical and technical skills and are
requirements for a competent surgeon1.
The NOTSS system was developed and tested under funding from the Royal College of Surgeons of Edinburgh and NHS Education for Scotland, from 2003-2007. The project was run by the University of Aberdeen, with a steering group of surgeons, psychologists and an anaesthetist.
...............................................................................
The aim of the NOTSS project was to develop and test an educational system for assessment and training based on observed skills in the intraoperative phase of surgery. The system was developed from the bottom up with subject matter experts (consultant surgeons), instead of adapting existing frameworks used in other industries. We thought it was important to understand the unique aspects of non-technical skills in surgery, and not to assume that the non-technical
skills identified for pilots, nuclear power controllers or anaesthetists would be exactly
mirrored in surgeons. The NOTSS system is in surgical language for suitably trained surgeons
................................................................................
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