PDSA analysis of four salient components of the programme during Cycle-3
| Plan | Continuation of ER programme incorporating minor modifications from Cycle-2 to 1 year period. |
| Do | From 07/12/2017 to 8/10/2018, 14 ER classes were delivered and data collected. |
| Study | Class attendance, LOS, complication rates and patient outcomes (standard arthroplasty review process) were monitored. One hundred and six patients were recruited and underwent surgery. Six patients failed to attend the ER class but were subject to all other aspects of the programme. Twelve patients attended classes but surgery was delayed or cancelled. Complication rates were not adversely effected by introduction of ER, LOS was reduced and patient outcomes were maintained (see below). A convenience sample of 17 patients completed the same initial questionnaire used pre-ER to gauge effects on preparedness and expectations of recovery. |
| Act | The benefits of the ER programme were assessed to be worthwhile when balanced against costs of running the programme. Long-term continuation was agreed. |
ER, enhanced recovery; LOS, length of stay; PDSA, plan–do–study–act.