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Abstracts and Programme: EUROANAESTHESIA 2011: The European Anaesthesiology Congress: Evidence-based Practice and Quality Improvement

Patient Satisfaction Survey of the Enhanced Recovery Programme School for Colorectal Surgery at the Royal Berkshire NHS Foundation Trust


Burumdayal, A. N.; Mohabir, A.; Cherrill, S.; Worthington, L.; Middleton, S.

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European Journal of Anaesthesiology: June 2011 - Volume 28 - Issue - p 18-19
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Background: Enhanced Recovery Programmes (ERP) are now widely prevalent in the UK. Using a multidisciplinary team approach focusing on stress reduction and early return to function, ERP aim to help patients recover more quickly from surgery and reduce morbidity. This results in shorter hospital stays and savings in healthcare costs.An ERP in colorectal surgery has been running successfully at the Royal Berkshire NHS Foundation Trust (RBHFT) since 2006. A key element to the success of an ERP is thorough patient preparation and education. To help with this, an, ERP School' has been established at the RBHFT for colorectal surgery. The School is run weekly by the Clinical Nurse Specialists along with the Pain Team and Physiotherapists. Patients scheduled for elective colorectal surgery are invited to attend one or two weeks prior to their admission. The session lasts 1.5 hours and includes an in-depth discussion about what patients can expect peri and postoperatively, as well as a practical demonstration of stoma care. They receive written information about the ERP, benefits of regional anaesthesia and postoperative physiotherapy. The purpose of this survey was to evaluate the response to the School.

Methods: Between April and October 2010, all the patients who attended the School were asked to complete a feedback form prior to discharge.

Results and Discussion: 19 patients attended the School. 13 patients were discharged at 4 days and all completed feedback forms. 6 had delayed discharges. 85% of patients strongly agreed or agreed that the School was useful. Everyone felt the school provided relevant and understandable information. All patients and their family felt fully informed about their care. All 85% strongly agreed or agreed that the School had a positive impact on their hospital stay.

Clear information describing what will happen during their hospital stay and what their role is in their own recovery can facilitate patients' adherence to the care pathway and timely recovery. Despite small numbers, our survey shows that patients find this structured provision of information beneficial. Conclusion: The School was well received by those who attended and should continue as part of the ERP. In addition to this, the ERP School are developing a DVD to reinforce the information provided at the School. Following on from this model we suggest that other specialities develop similar formats for patients undergoing major elective surgery.

© 2011 European Society of Anaesthesiology