Care pathway protocols that are reviewed in group sessions as part of our regional action plan meetings are displayed below. These are provided as examples of best practice and ways to encourage change improvements. They are available to download. If you have agreed to carry out an intervention as part of an AAAQIP regional meeting please edit these with local ammendments.
GROUP 1: PRE-OPERATIVE ASSESSMENT
This element of the care pathway focuses on standardising pre-operative risk assessment as well as encouraging the development of a formal Multi-Disciplinary Team (MDT) structure and process.
Download Group 1-AAA Pre-Operative Care Bundle (Updated July 2011) (doc)
Download Group 1-NBT AAA Pre-Operative MDT Care Pathway (July 2011) (ppt)
Download Group 1-Y& H AAA Preliminary Care Pathway (060212) (doc)
Download Group 1-Morecambe Bay-AAA Vascular MDT Co-ordination (doc)
GROUP 2: CARE DELIVERY- INTRA-OPERATIVE
This focuses on intra-operative care delivery to ensure the appropriate facilities are available and the right protocols are carried out. This also addresses surgical and anaesthetic factors and team composition and roles.
Download Group 2- MHRA Leaflet (pdf)
Download Group 2-South Central Open Intra-Operative Pathway (June 11) (doc)
Download Group 2-South West-EVAR Intra-Operative Pathway (July 2011) (doc)
Download Group 2- Royal Glamorgan AAA Intra-operative NVD proformas (August 2011) (ppt)
Download Group 2-Availability of Vascular Trained Staff Audit Template (doc)
GROUP 3: CARE DELIVERY- POST-OPERATIVE
Group 3 considers the post-operative element of the care pathway and the importance of destination and nursing led care/targets.
Download Group 3-EAST (NNUH)_EVAR_Carepathway_ 2011 (pdf)
Download Group 3-Hudderfield Criteria Led Discharge Proforma (EVAR; Sept 11) (doc)
Download Group 3-Post operative Open AAA Care Pathway (East Lancashire-Sue Kenny) (doc)
GROUP 4: COMMUNICATION WITH PATIENTS
This session highlights the importance of communication with patients and providing the appropriate information for patients to make a fully informed decision. This also considers joint decision making and providing enough time for patients to digest the risks associated with proceeding with intervention.
Download Group 4-rAAA Patient Case Study. The Importance of Post Operative Communication (doc)
Download Group 4-Patient information for NVD consent (doc)
Download AAA Suveillance Patient Information Leaflet (doc)
Download Treatment of AAAs Patient Information Leaflet (doc)
Download AAA Recovery Leaflet (OPEN) (doc)
Download AAA Recovery Leaflet (EVAR June 11) (doc)
Download Group 4-AAA Post-Operative Communication Care Bundle (Updated July 2011) (doc)
Download Group 4-AAA Telephone Follow Up Proforma (July 2011) (doc)
Depending on the care pathway within your Trust, if you prefer to give your patients all the infomation at once we have combined the pre-operative and recovery patient information into one leaflet (OR and EVAR).
Download AAA Open Leaflet (combined) (doc)
Download AAA EVAR Combined Leaflet (June 11) (doc)
GROUP 5: MEASUREMENT
Group 5 covers the significant outcome measures captured on the National Vascular Database (NVD) including mortality, length of stay and complications. This also points to other important measures such as measuring adherence to agreed protocols within the care pathway as well as capturing turn down rates. General measures to capture patient experience such as the Picker Inpatient Survey is also available.
Download Group 5-AAAQIP Measurement Strategy (doc)
Download Group 5-Data collection tool to capture AAA turndown rates (doc)
Download Group 5-AAAQIP Picker Inpatient Survey (Oct 11) (pdf)
Download Group 5- DRAFT AAA PROM (Before Operation) (doc)
Download Group 5-DRAFT AAA PROM (After Operation) (doc)
Download Group 5-PDSA Short Form (doc)
