PQIP - 2023
New research from the Royal College of Anaesthetists and University College London shows that while some progress is being made in improving perioperative care for patients undergoing major surgery, more focus is needed on ensuring all patients receive an individualised risk assessment, effective postoperative pain management and support with DRinking, EAting and Mobilising (also known as DREAMING) within 24 hours of surgery. The full report is available at www.pqip.org.uk.
The fourth report of the Perioperative Quality Improvement Programme (PQIP) analyses data from a cohort of 11,926 patients from 135 hospitals who had surgery between July 2021 and March 2023, as well as data from three previous cohorts dating back to December 2016. In total, data from 44,114 patients across 168 hospitals is included in the PQIP research. The cohort in the new report is the first to include data from patients in Scotland, as well as England and Wales.
PQIP is designed to help improve patient outcomes from major non-cardiac surgery by supporting clinicians to use local data to enhance perioperative care. This is important for better outcomes for individual patients and for the recovery of the NHS after the pandemic. The PQIP report identifies five priorities for reducing complications and length of stay after surgery, simplifying enhanced recovery and promoting teamwork, including with patients.
The report identifies individualised risk assessment as the foundation of later high-quality patient care, facilitating shared decision making and open communication, which may help to improve patients' adherence to treatment. Approximately 1 in 3 patients having major high-risk non-cardiac surgery did not have an individualised risk assessment, despite this being recommended by case law (Montgomery, 2015) and subject to a recent Prevention of Future Deaths review.
Read the Report - PQIP Report 2021 - 2023
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