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Elective Orthopaedics

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Introducing a daily MDT board round: A quality improvement project to reduce length of stay for knee replacements at GSTT

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By A. E. Holland, C. C. Gallagher, Elective Orthopaedics, E. Jasper
| Physiotherapy Verified
Purpose: ERAS has long been proven to help reduce hospital length of stay (LOS) and complications following total knee replacement (TKR) surgery. Guy's and St Thomas’ NHS Foundation Trust’ (GSTT) ERAS programme targets an inpatient stay of three nights as best practice for TKR's; yet in 2018 this was not being met. Anecdotal data was suggestive of a growing cohort of multi-morbid older adults undergoing surgery with associated complex post-operative management and discharge planning.
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