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Surgical Improvements

Posted on Oct 19, 2017

Working in the operating room at Nanaimo Regional General Hospital, anesthesiologist Dr. Karen Wong saw an opportunity to improve patient care.

By working with the Physician Quality Improvement initiative, Karen and her team have made great progress towards more efficient, patient-centered surgical care. Karen and her team developed a patient questionnaire, a screening guide to help triage patients pre-operatively, and a patient education brochure. Arrangements were also made for patients to receive pre-operative phone calls from the NRGH nursing staff to clarify medication and discharge home instructions. During this trial period, participating patients were tracked and evaluations were performed regularly with nursing staff, patients and surgeons’ office assistants. Results from the project show that the standardized process effectively triages high-risk patients and that regular engagement between health-care teams as well as patients helps identify problems and improves workflow. Importantly, from filling out the questionnaire at their surgeon’s office, to coming in for their surgery, patients responded positively to this new process.

Karen looks forward to ultimately expanding pre-surgical screening to all NRGH surgical specialties and work together with her peers in South and North Island to standardize the process for all of Island Health.

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