Enhanced Recovery: Can We Really Have It All?
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Transcript of Enhanced Recovery: Can We Really Have It All?
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