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Closing the Gap Between Protocol and Practice in Perioperative Care

From Protocol to Practice: Closing the Perioperative Gap with Real-Time Execution

In surgery’s high-stakes world, protocols protect patients, streamline operations, and improve outcomes. Yet what’s written in guidelines doesn’t always translate cleanly to the OR and recovery unit. The perioperative journey—from pre-op prep to post-op recovery—is complex, and breakdowns in communication, fragmented workflows, and inconsistent adherence still cause delays, complications, and added costs.

As healthcare accelerates toward value-based models, bridging the gap between protocol and practice is urgent. That’s where Modality Global Advisors (MGA) comes in.

The Disconnect Between Protocol and Practice

Evidence-based pathways like ERAS reduce SSIs, anaesthesia risk, and LOS—when followed. Even high-performing teams struggle with consistent execution because:

  • Surgeons, anaesthetists, nurses, and admins operate in silos.
  • Manual documentation leads to missed steps and errors.
  • Real-time patient/status updates are hard to access across teams.
  • Compliance relies on memory—not systems—at critical moments.

The result: preventable readmissions, extended LOS, avoidable complications—and downward pressure on quality and financial performance.

From Guidelines to Real-Time Action

MGA turns protocols into practice—seamlessly, consistently, intelligently. We pinpoint pressure points across the peri-op continuum, then layer smart tools, analytics, and workflow redesign so each step becomes standard, not optional.

What MGA Brings to the Table

  1. Automation where it matters most
    Pre-op checklists, risk assessments, consent, NPO verification, antibiotic timing, and VTE prophylaxis are auto-tracked and surfaced inside existing EHRs—flagging gaps before the patient reaches the theatre.
  2. Real-time team coordination
    Shared dashboards and alerts keep surgeons, anaesthesia, nursing, and bed management aligned on labs, imaging, device readiness, and schedule changes—all from a single, live playbook.
  3. Smarter postoperative recovery
    Digital ERAS pathways track milestones (ambulation, analgesia, fluids, nutrition, drain removal) and trigger actions that accelerate safe discharge without relying on manual checklists.
  4. Continuous feedback for continuous improvement
    Live analytics on adherence, case delays, PACU bottlenecks, and outcome variation enable rapid course-correction—no waiting for quarterly audits.

Protocol–Practice Gap: Fast Fixes that Stick

Common Gap Impact MGA Solution
Missed pre-op labs/antibiotics Delays, SSIs, cancellations EHR prompts + hard stops; real-time readiness board
Inconsistent handoffs Errors, LOS creep Standardised SBAR; auto-pull checklists into sign-out
Manual pathway tracking Variation, missed milestones Digital ERAS with milestone alerts & escalation
No live performance view Slow fixes; hidden bottlenecks Adherence and delay dashboards; daily huddles

More Than Technology: A Human-Centered Approach

  • Redesign handoffs to embed safer communication.
  • Clarify roles and accountability across the pathway.
  • Place prompts and decision support inside clinician workflow—not in extra apps.
Every avoided complication, every prevented delay, every shortened stay moves quality up and costs down. Execution is the strategy.

Ready to Make Perioperative Excellence Your Standard?

MGA co-creates resilient, intelligent surgical ecosystems—closing the protocol-practice gap with automation, coordination, and real-time insight.

Let’s close the gap. Contact Modality Global Advisors to redesign surgical workflows for consistency, efficiency, and better outcomes: hello@modalityglobal.com.

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