Island Health Authority Nanaimo Regional General Hospital Victoria General Hospital Royal Jubilee Hospital
Enhanced Recovery: Can We Really Have It All?
Jun 11, 2015
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
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
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Transcript
Island Health AuthorityNanaimo Regional General Hospital
Victoria General HospitalRoyal Jubilee Hospital
40 cases 42 weeks1680X 3 sites5040
40 cases 42 weeks1680X 3 sites5040
20%30 day
Multispecialty
Program Overview
NRGHOrtho 13General 9Gyne 7Plastics 5Urology 5ENT 2
RJHOrtho 9General 6Urology 6Vascular 4Cardiac 3ENT 3Plastics 2Thoracic 2
VGHOrtho 10General 10Gyne 9Urology 5Neuro 4ENT 2
Program Goals
UTI
Morbidity SSI
ROR
Mortality
Renal Fa
ilure
Unplanned In
tubation
Cardiac
Ventilator >
48 hrs
DVT/PE
Pneumonia0
0.5
1
1.5
2
2.5
NRGHRJHVGH
Island Health Cases Site Comparison
Where we need to be
Jan-01-12 to Dec-31-12
First Year Second Year
July 1, 2011 to June 30, 2012
July 1, 2012 to June 30, 2013
RJH BC NSQIP RJH BC NSQIPAll
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%
RJH- Urinary Tract Infection Rates by Specialty
Resources
The ‘How to’ Guide for Reducing Harm in Perioperative Carehttp://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 Nowwww.saferhealthcarenow.ca/EN/events/NationalCalls/2013/Pages/Cuts-Like-a-Knife-Current-Practice-and-Emerging-Evindence-in-Preventing.aspx
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