Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach

Pre-operative assessment of complex surgical patients can be a lengthy process, albeit essential to minimise complication rates. In a tertiary referral unit specialising in the surgical repair of entercutaneous fistulas, a baseline audit revealed an average in-patient length of stay of 30.1 days, ma...

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Detalles Bibliográficos
Autores principales: Chamberlain, Mark, Dwyer, Rebecca
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Publishing Group 2015
Materias:
BMJ Quality Improvement Programme
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645886/
https://www.ncbi.nlm.nih.gov/pubmed/26734355
http://dx.doi.org/10.1136/bmjquality.u204075.w1773
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author Chamberlain, Mark
Dwyer, Rebecca
author_facet Chamberlain, Mark
Dwyer, Rebecca
author_sort Chamberlain, Mark
collection PubMed
description Pre-operative assessment of complex surgical patients can be a lengthy process, albeit essential to minimise complication rates. In a tertiary referral unit specialising in the surgical repair of entercutaneous fistulas, a baseline audit revealed an average in-patient length of stay of 30.1 days, mainly caused by poor co-ordination between specialities. After the introduction of a weekly multi-disciplinary team meeting and the formalisation of a patient pathway, this admission length was reduced to 5.7 days (p<0.01), resulting in significant savings to the department.
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spelling pubmed-46458862016-01-05 Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach Chamberlain, Mark Dwyer, Rebecca BMJ Qual Improv Rep BMJ Quality Improvement Programme Pre-operative assessment of complex surgical patients can be a lengthy process, albeit essential to minimise complication rates. In a tertiary referral unit specialising in the surgical repair of entercutaneous fistulas, a baseline audit revealed an average in-patient length of stay of 30.1 days, mainly caused by poor co-ordination between specialities. After the introduction of a weekly multi-disciplinary team meeting and the formalisation of a patient pathway, this admission length was reduced to 5.7 days (p<0.01), resulting in significant savings to the department. British Publishing Group 2015-01-16 /pmc/articles/PMC4645886/ /pubmed/26734355 http://dx.doi.org/10.1136/bmjquality.u204075.w1773 Text en © 2015, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcode
spellingShingle BMJ Quality Improvement Programme
Chamberlain, Mark
Dwyer, Rebecca
Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
title Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
title_full Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
title_fullStr Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
title_full_unstemmed Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
title_short Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
title_sort reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
topic BMJ Quality Improvement Programme
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4645886/
https://www.ncbi.nlm.nih.gov/pubmed/26734355
http://dx.doi.org/10.1136/bmjquality.u204075.w1773
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