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PKB can be the digital solution for many perioperative teams wanting to improve surgical pathways. Providing digital informed consent, digitalised shared decision tool care plans, pre and post-surgery questionnaires and care plans, giving patients advice, reducing clinical appointment time, saving hospital money and improving the experience for both the patient and the clinical teams.
PKB's messaging and questionnaire functionality can help teams complete earlier pre-operative screening to help identify patients with additional health needs who would benefit from extra support both before and after surgery. The library and care plan features can give patients information pre and post-op and provide hospitals with a digital waiting well solution.
Current problems
A third of on-the-day cancellations are due to people not being clinically ready for treatment
Patients who are not fully ready for treatment are at greater risk of significant complications after surgery
Result in a hospital admission up to three times longer than average
Earlier pre-operative screening isnt happening
Long waiting lists for elective surgery, thousands of people waiting over two years for surgical procedures
Limited ability for organisations to engage with those patients on the waiting list, to support patients in waiting well
PKB Solution
Validating waitlist via questionnaire
Secure messaging feature allows professionals to share information with patients pre and post surgery
Support patients waiting well with care plans and library of resources
Send patients digital appointments and appointment letters
Information is shared about patient requirements ahead of treatment
Validate support required by collecting data from patients to triage them ahead of interactions (care plans, questionnaires, messaging)
Informed consent and shared decision tools
Care plans for all stages of peri-operative perioperative care, consent, pre-operative assessment, post-operative, post-op rehab and enhanced recovery
Benefits
Patients added to the correct surgical team on PKB using the “add to teams" solution
Patients are sent a preoperative questionnaire to fill in before the appointment, meaning reduced time in the appointment
Saving time and money
Patients have access to preoperative information in the library
Patients can follow correct exercise plans pre-surgery
Digital consent that is editable and sharable
Once a patient has had surgery, postoperative information will be available to the patient immediately on discharge
Postoperative care can be delivered through PKB
Questionnaires can be triggered out to the patient
Reduced post-surgery infections
PKB Perioperative workflow
Workflow
Use cases
Diabetes
The team uses PKB to manage the cohort of patients admitted for surgery diagnosed with Diabetes. As part of a Diabetes/Surgical improvement project for patients with Diabetes throughout the Perioperative process. From Pre-assessment through to postoperative discharge follow-up. Enabling the use of the library for information and health and well-being support throughout the perioperative process.
Pre-operatively
PKB is used to collect patient information ahead of surgery. Information is assessed to confirm patient suitability for surgery and determine the pathway. Patients must complete a health and lifestyle questionnaire at home. The results are assessed, and patients are streamlined to an appropriate surgical pathway. Once the surgery is performed, patients are discharged from an inpatient list either to GP care or to an outpatient setting.
Orthopaedics
The Ortho Prehab team uses questionnaires, library resources and a care plan in PKB to support patients awaiting joint replacement surgery. The care plan and resources form an 8-week prehabilitation programme with everything from exercise videos to mental health activities. Patients would otherwise have no in-person support as they are low priority, compared to higher priority patients who attend a 12-week course in person.
Renal
The ERAS renal team are using PKB to digitalise their journal. Patients will be made aware of the journal pre-surgery and then asked to complete it immediately after surgery and for ten days to monitor vitals.
Colorectal
The team has a care plan informing patients about what they should do before surgery and has a place to document progress immediately post-op to help with a quicker discharge.
Key PKB features
PKB can be used in all areas of peri-operative perioperative care. Below are the key featured teams are already using.
Questionnaires
Patients can initiate a questionnaire by clicking Start Questionnaire on their homepage or directly within the NHS App. Once completed, the questionnaire can be sent to a professional or team.
Teams using the questionnaire tool can ensure the outcome of clinical reviews is recorded and the patient has a copy. Teams can also identify patients suitable for virtual appointments or pre-operative assessment questionnaires.
PKB's advanced questionnaire functionality
The features include:
Scoring and calculations
Branching, allowing patients to complete the parts of the questionnaire that are relevant to them
Coded fields questionnaires can be mapped to clinical codes
Patients can save drafts
Send questionnaires to patients who aren’t registered or already in your team
Questionnaire templates
Assessment for adult care in the day surgery unit
Messaging
Patients have access to message their healthcare team (saving time on the phone)
The Admin team can triage messages. Either resolving or passing onto another speciality team
Universal Messaging is the ability for patients to message clinical and non-clinical teams
Team-based messaging allows teams to automatically receive secure messages and questionnaires as a group rather than as individuals
Enhance recovery for post-operative care can be delivered
Library
A wealth of resources such as pre-op, post-op
Wound care
Rehab
National and local information and guidance
Videos
Hospital and organisation information
Disease-specific information
Care plans
PKB have a care plan toolkit with examples of care plan templates used by teams. There is a process for teams to amend care plans or create new ones here.A selection of peri-operative perioperative care plans is below.
Peri-operative Perioperative care plans templates
Personalised care plan templates
Disease care plan with individualised templates with escalation plans
A place to track and record symptoms related to the speciality
Journal
Digitalise journal
Pre-surgery and post-surgery to support enhanced recovery programs
Data
Appointments
Appointment letters
Clinical letters
Comms
Provide clear information for patients on how to use PKB pre- and post-surgery and what support the teams provide digitally.
Comms to staff on the new clinical and patient digital pathways
Further information
PKB Perioperative pathway: how PKB can be the digital solution at every stage of the periop pathway
Case study on transforming post operative follow-up: consultant harnesses power of personalised video messages with PKB
Elective Recovery: how PKB can digitally support teams and patients at every stage of the pathway
Surgery teams: workflow and content
Peri-operative Perioperative care plans templates: examples of pre-op, consent, minor procedures and post-op templates created and used by teams
Consent Care Plan Templates: informed consent care plan examples
Shared decision tool care plan: PKB has converted these decision support tools into digital, editable and shareable care plans