Friday, March 3, 2017

Bowditch Prize honors what it takes

TAKING A BOW: Bordeianou and Warshaw

Surgeon Liliana Bordeianou, MD, of the Division of Gastrointestinal and General Surgery, is described as having tenacity and vision, perseverance and determination in the face of many challenges. Her work in creating Enhanced Recovery After Surgery (ERAS) protocols – for which she received two Bowditch Prize nominations – earned her this year’s prestigious honor.

“We have such a strong tradition at the MGH of surgeons being innovative,” said Thomas J. Lynch, Jr., MD, MGPO chairman and CEO at the Feb. 24 luncheon celebration. “These kinds of breakthroughs make an enormous difference in what we do every day at the MGH.”

The prize – named for Nathaniel Bowditch, who helped raise funds for the construction of the MGH in the early 1800s – recognizes employees’ contributions to enhance the delivery of quality patient care while also reducing the cost of that care. It was established in 2000 by Andrew Warshaw, MD, former MGH surgeon-in-chief and chairman of the Bowditch Prize Selection Committee.

Bordeianou’s ERAS protocols have led to a more streamlined patient recovery with fewer complications, decreased wound infection rate (1.1 percent versus 6 percent) and a full day shorter length of stay.

“She put in countless hours educating and convincing caregivers from all disciplines including Surgery, Anesthesia, Nursing, Pharmacy and Peri-Op Services,” wrote David Rattner, MD, chief of the Division of Gastrointestinal and General Surgery, in his nomination letter. “In spite of multiple obstacles of why this couldn’t be accomplished, she persevered in establishing ERAS as the default clinical pathway for colorectal surgery.”

In fact, Partners HealthCare took note of these significant outcomes and adopted ERAS as the foundation for the PHS colorectal collaborative. The work also has led to the creation of a standardized pre-surgery kit with all medications and bowel prep material to ensure patient compliance with the protocol and better outcomes after colon surgery.

“It is a great honor to receive this,” said Bordeianou. “It really was a team effort in part of the nurses, surgeons, anesthetists and so many others. Thank you to this amazing team.” 

Read more articles from the 03/03/17 Hotline issue.

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