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Post by Admin on Jan 5, 2015 21:29:31 GMT
How do you do it?
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Post by Admin on Jan 5, 2015 21:39:12 GMT
What's the differrnce?
posted Jul 22, 2014 by Dmitry_Makhmudov
Hi, everyone! When dealing with those collegues, who do not actually apply an ERAS protocol in their institution, the same question all the time: "...Yeah, we know all that. We also use epidural analgesia (for example) and so on. But what's new about it? That's just a rational treatment strategy". So, what's your oppinion, is ERAS-a whole different entity, or is it just a "pieces of treatment rationale", stitched up together?
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Post by Admin on Jan 5, 2015 21:39:34 GMT
irene.fitt said Sep 17, 2014
Hi
I think it is looking at the patient from an holistic point of view,being a patient advocate .
Gain agreement as to where everyone is and make marginal gains together.
We know most is not rocket science,mobilizing....however patient needs good pain control or else they are going now where so we are responsible in keeping up to date with the best most appropriate analgesia intra and post op.And on it goes working as a team rather than in cyclones or at least that is the theory I think.
Irene
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Post by Admin on Jan 5, 2015 21:45:28 GMT
This is one of the most common discussion points at conferences and meetings - how to measure compliance with ERAS pathways and protocols? Moreover, how should you make use of this information to improve patient care? How can you best measure patient experience in an objective and reliable way?
Well those are some of the questions - over to you for the answers!
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Post by Admin on Jan 5, 2015 21:45:47 GMT
irene.fitt said Aug 11, 2014
Hi
Again sorry late response trying harder now to use this as a means of asking questions.
At present I use a paper form to collect information and then add to what was the DOH website,now that is closing unless you wanted to pay for the service I have gone down the route of an internal excel spreadsheet provided by our IT department.
To measure, I am coming to the conclusion that I can only focus on one area at a time so by patient , if a goal was not achieved we find out why not and act on ,if this is a trend ie catheters in situ for THR why topic for next MDT!
This should have direct impact on patient care
What I would really like to see is national paperwork that is pathways . info leaflets that we all agree and update and then a means of national comparing against set criteria that is somewhere where we all enter our data.
Last question difficult,I like others phone patients up post discharge ask the four simple questions and then give the patient time to discuss areas they feel were good and constructive criticism for the rest .Listen,learn share act upon where possible.
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