Elective Surgery Programme Implementation Support Guide

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Indicators of Quality for Patients leaving the Surgical Out-patient Clinic For each elective surgery patient, a surgical care plan and its components are documented and set in motion as set out in the Model of Care for Elective Surgery Patients receive verbal and, in most cases, written documentation about their procedure and its potential complications Patients receive an estimate length of stay There should be documentary evidence of a patients‟ consent if they are happy An appointment is made for attendance at a Pre-admission Assessment Clinic Details of planned surgery are conveyed to the Primary and Community Care Team Patients receive education on post-operative needs e.g. dietary, mobility aims There is a dedicated Waiting list/Admission Coordinator/Bed Manager for elective surgery patients 32 Model of Care for Elective Surgery
References 1. A short cut to better services – Day surgery in England and Wales Audit Commission 1990. 2. PA-Consulting (2007) Acute hospital bed capacity review: a preferred health system in Ireland to 2020. Dublin 3. Nasr A, Reidcardt K,Fitzgerald K, Arumugusamy M, Keeling P, Walsh TN (2004) Impact of emergency Admissionson elective surgical workload. Ir Med J 173(3):133-5 4. Robb WB, O‟Sullivan MJ, Brannigan AE, Bouchier-Hayes (2004) Are elective surgical operations cancelled due to increasing medical admissions? Ir Med J 173(3):129-32 5. Haynes A, Weiser T, Berry W, Lipitz S et al (2009) A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population. New Eng J Med 360(5):491-497 6. De Vries E, Prins H,Crolla R, Outer A et al (2010) Effect of a Comprehensive Surgical Safety System on Patient Outcomes. New Eng J Med 363: 1928-1937 7. Neily J, Mills P, Young-Xu Y,Carney B et al (2010) Association between Implementation of Medical Team Training Programme and Surgical Mortality JAMA 304(15):1693-1700 8. HSE (2007) Health transformation programme 2007–2011. HSE,Dublin 9. DoHC (2001) Quality and fairness a health system for you. DoHC, Stationery Office, Dublin 10. O‟Reilly J, Brick A, Wiley M (2009) Acute public hospital services: challenges for reform in the context of the „preferred health system‟. In: Layte R (ed) Projecting the impact of demographic change on the demand for and delivery of health care in Ireland. Research Series no. 13. ESRI, Dublin, pp 21–44 11. Fisher A, McMillan R (2004) Integrated Care Pathways for Day Patients (Handbook of British Association of Day Surgery) Colman Print, Norwich 12. Vanhaecht, K., De Witte, K., Panella, M. & Sermeus, W. (2008) Do pathways lead to better organised care processes? Journal of Evaluation in Clinical Practice, 15 (5), 782–788. 13. Rotter T, Kinsman L, James EL, Machotta A, Gothe H, Willis J, Snow P, Kugler J Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital 33 Model of Care for Elective Surgery
Page 1 and 2: Elective Surgery Programme Implemen
Page 3 and 4: Overview of the Elective Surgery Pr
Page 5 and 6: What is AvLOS? It is a sub programm
Page 7 and 8: How do we know that the HIPE codes
Page 9 and 10: What is TPOT? It is a sub programme
Page 11 and 12: What is IASM? It is a part of the S
Page 13 and 14: MODEL OF CARE FOR ELECTIVE SURGERY
Page 15 and 16: CHAPTER 3 .........................
Page 17 and 18: Summary for Patients and Carers Int
Page 19 and 20: Chapter 5 describes Discharge Plann
Page 21 and 22: Patients expect to know approximate
Page 23 and 24: CHAPTER 1 The Elective Surgery Prog
Page 25 and 26: Executive are aiming to address the
Page 27 and 28: Improving access to theatre resulti
Page 29 and 30: tests are performed as expeditiousl
Page 31: (MDT) and should outline the antici
Page 35 and 36: APPENDIX 1 - THE SURGICAL CARE PLAN
Page 37 and 38: job plans of consultant anaesthetic
Page 39 and 40: The Waiting list/Admission Coordina
Page 41 and 42: Stage four: information collating
Page 43 and 44: Routine screening tests that should
Page 45 and 46: include an ECG and relevant blood t
Page 47 and 48: Risk Reduction and Service Monitori
Page 49 and 50: 9. Reed M, wright S, Armitage F. Nu
Page 51 and 52: APPENDIX 2 - Pre-admission Assessme
Page 53 and 54: Anaemia or Blood Disease Excessive
Page 55 and 56: emedies or recreational drugs) Is t
Page 57 and 58: APPENDIX 5 - SAMPLE PRE-ADMISSION A
Page 59 and 60: Outcome: - Accepted for Day Case Ye
Page 61 and 62: targets. It goes without saying tha
Page 63 and 64: Patient Factors: Age - there is no
Page 65 and 66: The safe and comfortable recovery o
Page 67 and 68: Accommodation required for day surg
Page 69 and 70: The Clinical Director, commonly a C
Page 71 and 72: The clinical team should be develop
Page 73 and 74: which provide enhanced services/acu
Page 75 and 76: http://www.esraeurope.org/Postopera
Page 77 and 78: APPENDIX 2 - Procedures that are su
Page 79 and 80: APPENDIX 4 - Patient conditions uns
Page 81 and 82: APPENDIX 5 - Diabetic Day Case Pati
Page 83 and 84:
Total Score @ __________ (3) Nurse
Page 85 and 86:
APPENDIX 8 - Suggested documentatio
Page 87 and 88:
The optimal situation is when a pat
Page 89 and 90:
If patients only give a Group and H
Page 91 and 92:
CHAPTER 5 Discharge Planning Introd
Page 93 and 94:
The patients‟ general practitione
Page 95 and 96:
References 1. Selker HP, Beshansky
Page 97 and 98:
APPENDIX 2 - Sample Patient Dischar
Page 99 and 100:
APPENDIX 4 - Sample Discharge/Trans
Page 101 and 102:
CHAPTER 6 Elective Surgery Indicato
Page 103 and 104:
Pre-admission assessment is underta
Page 105 and 106:
Dr Suzanne Crowe Paediatric Anaesth
Page 107 and 108:
2 GENERAL/UNSPECIFIED TARGETS ICD-1
Page 109 and 110:
4 GENERAL COLORECTAL TARGETS ICD-10
Page 111 and 112:
111
Page 113 and 114:
8 NEUROSURGERY TARGETS ICD-10-AM Pr
Page 115 and 116:
10 ORAL MAXILLO FACIAL TARGETS ICD-
Page 117 and 118:
12 PLASTIC TARGETS ICD-10-AM Proced
Page 119 and 120:
14 UROLOGY TARGETS ICD-10-AM Proced
Page 121 and 122:
Manager for elective surgery patien
Page 123 and 124:
Are allied health professionals inc
Page 125 and 126:
Are DOSA patients‟ beds ring fenc
Page 127:
127
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Elective Surgery Programme Implementation Support Guide

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