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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
medimedia.ir

Enhanced recovery after surgery (ERAS) program implementation grid

Enhanced recovery after surgery (ERAS) program implementation grid
Timeline Tasks Roles
Surgeons Anesthesiologists Residents and physician assistants Nursing Pharmacy Surgery scheduling Information technology
t-16 weeks

Establish steering committee representative/liaison

Identify literature and ERAS resources for dissemination within department and steering committee		 X X X X X   X
t-15 weeks Read specialty-specific ERAS literature X X   X X    
t-14 weeks Establish intradepartment consensus on ERAS target population and ERAS elements for adoption X X   X X    
t-13 weeks Meet to obtain interdisciplinary consensus on ERAS elements and executors X X X X X    
t-12 weeks

Work on order sets with information technology

Announce initiative to departments/stakeholders		 X X X X X X Work on order sets with other groups
t-10 weeks Plan site(s) of preoperative education, patient education materials, and letter X X       X X
t-9 weeks Create formal educational materials for surgeons, anesthesiologists, nurses containing rationale and ERAS elements X X X X X    
t-8 weeks

Begin mailing new preoperative letter

Surgeons begin scheduling patients as ERAS		 X         X  
t-7 to 5 weeks

Send reminders of scheduling ERAS status for surgical patients

Preoperative ordering

Go-live dates to all stakeholders		 X X X X X X X
t-4 weeks

Preoperative patient education begins

Obtain preoperative drink 		X X   X X    
t-2 weeks Order sets sign-off X X X X X   Order sets sign-off and ready for go-live activation
t-0 (clinical go-live) Preoperative briefing Preoperative briefing Preoperative briefing Use preoperative, intraoperative, postoperative order sets       Verify smooth go-live of preoperative, intraoperative, postoperative order sets
Following go-live Clinical huddles Clinical huddles            
Ongoing Quality improvement data collection Quality improvement data collection            
ERAS steering committee members (meet every one to four weeks as a full group or subgroup): Hospital-wide steering committee project manager (hospital), project manager (per department), and each specialty listed should have a representative.
ERAS: enhanced recovery after surgery.
Courtesy of Mallika Anand, MD, MS.
Graphic 113783 Version 3.0

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