Customized Prehabilitation Prescription for Patients Awaiting Vascular Surgery: A Qualitative Improvement Project

Customized Prehabilitation Prescription for Patients Awaiting Vascular Surgery: A Qualitative Improvement Project

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    Marie Pinard 23 June 2021

    Thank you for sharing this great work. The PDSA cycle summary effectively illustrates their iterative nature and the importance of prediction to optimize learning. It's evident that future PDSA cycles hold much promise for additional refinements and potentially linking to surgical outcomes. I'd love to hear more about the patient's role in developing the personalized plan and whether it impacts adherence. Is there a role for technology to decrease the burden of developing customized prehab prescriptions?

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    Brian M. Wong 24 June 2021

    I had the opportunity to see you present this work as part of the DoM Co-Learning day and I was so impressed with how you carried out several PDSA cycles to refine your intervention. I also liked how you used small samples to build knowledge towards the later stages of your project -- the fact that 5/6 patients at follow up confirmed that they actually did the exercises as prescribed suggests that your interventions is working well on a small scale. I am encouraged by how much you've accomplished!

Presenter
Amanda Mayo

C-QuIPS Associate Director, Sunnybrook Hospital Dr. Amanda Mayo MD MHSc FRCPC is a full-time Clinician in Quality Improvement Physiatrist at Sunnybrook Health Sciences Centre, and Assistant Professor in the Department of Medicine at the University of Toronto. She subspecializes in Amputee Rehabilitation. Amanda has a MHSc in Clinical Engineering with a focus on Human Factors Engineering and Usability of Health Technology. Her current QI focus is on improving the continuum of care for individuals with limb loss and preventing dysvascular amputations. Recent projects include reducing wait-times for outpatient rehabilitation, Implementing Prehab for vascular patients, 3D printing of prosthetics, and innovating care pathways for amputees.

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