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Smoothing out the ride for surgical patients

Bruce P Waxman
Med J Aust 2013; 198 (8): . || doi: 10.5694/mja13.10383
Published online: 20 May 2013

Bruce Waxman examines the drivers of change in perioperative care and the effects on patient outcomes

Whether a patient is having an elective or emergency procedure, ideally their journey will follow a pathway that has been mapped out from the time of entering the hospital until their discharge summary is generated.


  • Academic Surgical Unit, Monash University, Dandenong Hospital, Monash Health, Dandenong, VIC.



Competing interests:

No relevant disclosures.

  • 1. Kerridge R. Perioperative clinics — how can they be improved? Anaesth Intensive Care 2013; 41: 8-9.
  • 2. Adamina M, Gie O, Demartines N, Ris F. Contemporary perioperative care strategies. Br J Surg 2013; 100: 38-54.
  • 3. Grocott MP, Martin DS, Mythen MG. Enhanced recovery pathways as a way to reduce surgical morbidity. Curr Opin Crit Care 2012; 18: 385-392.
  • 4. Haynes AB, Weiser TG, Berry WR, et al. A surgical safety check list to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360: 491-499.
  • 5. General Surgeons Australia. 12 point plan. http://www.generalsurgeons. com.au/news/108/12-point-plan (accessed Mar 2013).

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