Whose Spine is it Anyways? A Quality Improvement Initiative to Optimize Outcomes in Patients Undergoing Spine Surgery.
It is imperative for Anesthesiologists to remain informed on the latest ERAS protocols, as they help improve our patient outcomes while preserving resources. An appropriate anesthetic ERAS plan helps prioritize early ambulation, reduced length of stay, reduced cost, and improved patient satisfaction. The Michigan Spine Surgery Improvement Collaborative (MSSIC) is a quality improvement collaborative with the goal of optimizing patient outcomes and increasing efficiency of spine surgeries in Michigan, with an emphasis on ERAS protocols. Some of the parameters they follow include pre-operative education, early ambulation, urinary retention, and discharge disposition. We monitored these parameters within our own patient population with quantified rates of success and progression according to numerous variables related to patient compliance, staff education, and protocol adaptation. As we implemented new protocols we were pleased to see improved rates of patient education, early ambulation, urinary retention, and patient satisfaction; all of which helped optimize patient outcomes while preserving resources.
Reilly E, Soto RG, Ahmed A. Whose spine is it anyways? A quality improvement initiative to optimize outcomes in patients undergoing spine surgery. Paper presented at: The Annual Meeting of the American Society of Anesthesiologists; 2021 Oct 8-12; San Diego, CA.