A method that brings better quality care and savings - Deník.cz<

The first workplace in the Czech Republic, which began to apply the patient journey in orthopedics, is the orthopedic department of Šumperk Hospital.At the moment there are 41 patients in the process of patient paths waiting for total hip or knee endoprosthesis.

The first preclinical phase begins 8 weeks before surgery, when the patient learns the term of the operation and gets infobrožures in which there is everything that should know before the procedure and what he can do for a successful outcome of the operation.

Those patients interested in the medical staff install personalized patient application on your phone or tablet.Patients take part in the so -called before surgery.Patient Academy to meet their future nursing team and discuss everything.

It also includes walking with crutches, getting up and lying on the bed as they do after surgery.

“The involvement of patients in the process is essential.In the mobile application they have information about hospital, diagnosis and treatment.In the calendar they see the date of operation and receive notifications what to do a specific day.Those who are not proficient in working with a mobile phone can read in detail information brochures, ”says Alan Muntean's involvement of the patient's involvement.

The second preoperative phase begins with the onset of patients to the hospital.The so -called so -called.DECOLONING - Special body cleansing to reduce the incidence of the amount of undesirable bacteria.Decolonization significantly reduces the risk of infectious complications associated with surgery.

“On the washed body patients apply special foam, rinse their mouths and apply gel to the nasal cavity.All 3 times a day, at least three days before its own performance, ”continues Alan Muntean.

The third intraoperative phase focuses on the application of Eras approaches during the surgical performance.This is eg.o Significant reduction of the use of drains and urinary catheters and application for the patient's most suitable analgesic procedures.

“The operation itself takes place in combined anesthesia, and an important element is the so -called.Local infiltration analgesia where painkillers are served directly into the operated joint.This allows you to stand on your own feet a few hours after the operation, ”adds Alan Muntean.

In the fourth postoperative phase, the team then focuses on the quick “moving” of the patient already 4-6 hours after the procedure.By not being connected to any tubing, urinary catheters and treated with combined anesthesia, they can start walking right away.This reduces the risk of complications resulting from the long -term stay on the bed.Movement is a natural defense against respiratory and other complications, ”emphasizes the main advantages for Alan Muntean patient.

And in the fifth rehabilitation phase, there is also telemedicine, where a special sensor that the patient placed on the operated limb during exercise and which is wirelessly connected to the tablet, transmits the patient's exercise directly to the doctor or physiotherapist.

“Not only in the Covida time is advantageous for patients and doctors to communicate remotely.Patients may not travel and healthcare professionals can procure more patients in a shorter time.“, Concludes for B.Braun Five Phases.

The process of the whole process is a specially developed ForpatientApp application.This mobile application warns the patient to all important moments of the whole process, educates it, provides instructions for decolonization, illustrates using videos how to prepare for the operation.Part of the patient journey

is also a specially developed rehabilitation sensor Ortofit.The operated patient will put on the operated limb before surgery.The sensor then monitors the quality of its rehabilitation, and if the patient keeps it on his leg permanently, he evaluates his general mobility.

“The sensor is connected to a tablet that uses the application transmits data from rehabilitation to your doctor's computer.The patient's application leads during exercise, shows him the extreme positions, ”explains Alan Muntean.

The global leader in the application of the patient route is neighboring Germany.Long -term studies show that a well -educated patient has up to 35 % shorter hospitalization period.

“This is a detailed plan.Randomized studies show that the measurable success of the process and the patient's subjective satisfaction is up to 20 % higher.In addition, 98 % of all patients who have gone through this process would recommend it to their acquaintances, ”concludes B for B.Braun Alan Muntean.