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Enhanced Recovery: Can We Really Have It All?

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This presentation was delivered at the BC Surgical Quality Action Network's 2013 annual meeting.

Presenters:
Olle Ljungqvist, MD PhD
Chairman of the International Enhanced Recovery After Surgery Society
Professor of Surgery at Örebro University Hospital, Sweden

Ron Collins, MD
Project Medical Director, Enhanced Recovery, Interior Health
Clinical Consultant, BCPSQC

Summary:
Enhanced Recovery processes of care have repeatedly been demonstrated to improve surgical outcomes. Implementation of ERAS can be challenging. Recognizing some of the cultural barriers is important. We propose a data-rich, outcome driven process to support site-specific implementation of ERAS.

Watch a recording of the presentation at https://vimeo.com/78557790
Visit http://bcpsqc.ca/clinical-improvement/sqan/ to learn more about the event

Published in: Health & Medicine
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Enhanced Recovery: Can We Really Have It All?

  1. 1. Island Health Authority Nanaimo Regional General Hospital Victoria General Hospital Royal Jubilee Hospital
  2. 2. Program Overview 40 cases 42 weeks 1680 40 cases Multispecialty 42 weeks X 3 sites 1680 X 3 sites VGH NRGH 5040 5040 20% 30 day RJH Ortho Ortho General Gyne 10 10 9 Ortho General Gyne 13 9 7 Urology 5 Plastics 5 Neuro ENT 4 2 Urology ENT 5 2 9 General Urology Vascular Cardiac ENT Plastics Thoracic 6 6 4 3 3 2 2
  3. 3. Program Goals
  4. 4. Island Health Cases Site Comparison 2.5 2 1.5 1 0.5 0 Jan-01-12 to Dec-31-12 Where we need to be NRGH RJH VGH
  5. 5. RJH- Urinary Tract Infection Rates by Specialty First Year Second Year July 1, 2011 to June 30, 2012 July 1, 2012 to June 30, 2013 RJH BC NSQIP RJH BC NSQIP All Specialties 2.4% 2.8% 2.2% 4.2% 2.2% 2.2% ENT 1.7% 0.6% 0.8% 2.4% 0.3% 0.8% Urology 3.3% 4.1% 4.0% 6.2% 3.3% 3.3% General 3.3% 2.5% 1.8% 5.0% 1.7% 2.0%
  6. 6. Resources The ‘How to’ Guide for Reducing Harm in Perioperative Care http://www.patientsafetyfirst.nhs.uk Updated Recommendations for Control of Surgical Site Infections. Annals of Surgery, Volume 253, No. 6. June 2011 Video presentation – ‘Cuts Like a Knife’, Safer Healthcare Now www.saferhealthcarenow.ca/EN/events/NationalCalls/2013/Pages/CutsLike-a-Knife-Current-Practice-and-Emerging-Evindence-inPreventing.aspx

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