000010127 001__ 10127
000010127 005__ 20240124114338.0
000010127 0247_ $$2DOI$$a10.6083/c534fp71x
000010127 037__ $$aETD
000010127 245__ $$aERAS protocol for total joint arthroplasty patients: a quality improvement initiative
000010127 260__ $$bOregon Health and Science University
000010127 269__ $$a2023
000010127 336__ $$aFinal project
000010127 502__ $$bD.N.P.
000010127 520__ $$aAs the surgical volume of total joint arthroplasty (TJA) continues to rise, healthcare systems must respond to increasing demand with efficiency. Enhanced Recovery After Surgery (ERAS) protocols are effective tools frequently used in surgical centers to standardize evidence-based practice for a patient population. A quality improvement (QI) initiative set about to develop a multidisciplinary protocol through the condensation of current practices in alignment with ERAS principles for a large multi-center academic hospital (AH). An email survey was sent to all members of the multidisciplinary team to assess current practice standards and a baseline understanding of ERAS guidelines before garnishing feedback on the proposed protocol. A Likert scale and free-text feedback was utilized for data collection. This QI project met its goal of over 60% buy-in from the team as evidenced by an interest in ERAS implementation (69%), agreeing the protocol clarified goals of care (89%), and perceiving a protocol would improve quality, safety, efficiency, and satisfaction among TJA patients (80%). The ERAS protocol developed from this QI initiative has the potential to ignite positive change at the AH. As ERAS ingrains in the culture of care for the TJA population, there is potential for spread to other orthopedic and surgical specialties. 
000010127 650__ $$aQuality Improvement$$039456
000010127 650__ $$aEnhanced Recovery After Surgery$$013119
000010127 6531_ $$atotal joint replacements
000010127 6531_ $$atotal hip arthroplasty
000010127 6531_ $$atotal knee arthroplasty
000010127 6531_ $$aclinical protocol
000010127 691__ $$aSchool of Nursing$$041370
000010127 7001_ $$aElzinga, Lynzy L.
000010127 7001_ $$uOregon Health and Science University$$041354
000010127 8564_ $$94ff8c54c-8176-4433-acfb-e64905802c2d$$s1977116$$uhttps://digitalcollections.ohsu.edu/record/10127/files/Elzinga.Lynzy.2023.pdf
000010127 905__ $$a/rest/prod/c5/34/fp/71/c534fp71x
000010127 909CO $$ooai:digitalcollections.ohsu.edu:10127$$pstudent-work
000010127 980__ $$aTheses and Dissertations