Cargando…

Optimisation of postoperative X-ray acquisition for orthopaedic patients

Postoperative X-rays are a key part of management of orthopaedic patients. These X-rays serve to check stability of orthopaedic fixation as well as to ensure that there are no peri-implant fractures and periprosthetic fractures following surgical fixation of fractures and arthroplasty procedures, re...

Descripción completa

Detalles Bibliográficos
Autores principales: Saggi, Sandip Singh, Kuah, Le Zhi Dexter, Toh, Lee Chuen April, Shah, Mohammad Taufik bin Mohammad, Wong, Merng Koon, Bin Abd Razak, Hamid Rahmatullah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968530/
https://www.ncbi.nlm.nih.gov/pubmed/35354599
http://dx.doi.org/10.1136/bmjoq-2020-001216
_version_ 1784679064640946176
author Saggi, Sandip Singh
Kuah, Le Zhi Dexter
Toh, Lee Chuen April
Shah, Mohammad Taufik bin Mohammad
Wong, Merng Koon
Bin Abd Razak, Hamid Rahmatullah
author_facet Saggi, Sandip Singh
Kuah, Le Zhi Dexter
Toh, Lee Chuen April
Shah, Mohammad Taufik bin Mohammad
Wong, Merng Koon
Bin Abd Razak, Hamid Rahmatullah
author_sort Saggi, Sandip Singh
collection PubMed
description Postoperative X-rays are a key part of management of orthopaedic patients. These X-rays serve to check stability of orthopaedic fixation as well as to ensure that there are no peri-implant fractures and periprosthetic fractures following surgical fixation of fractures and arthroplasty procedures, respectively. Timely accurate interpretation of postoperative X-rays are crucial in guiding weight-bearing status as well as rehabilitation. Therefore, delays in X-ray acquisition may impact initiation of postoperative rehabilitation and overall length of stay negatively. The aim of this project is to optimise acquisition of postoperative X-rays in patients undergoing implant surgery and as a result increase efficiency of deployed healthcare staff. A multidisciplinary team was formed to study the efficacy of a new workflow for patients to undergo X-rays immediately after surgery while en-route to the ward. Pretrial and in-trial delays in acquiring X-rays and total man-hours spent on transport were recorded. These processes were refined and integrated to optimise the new workflow. Compared with the old workflow, delays in obtaining X-rays were significantly reduced from the longest of 20 hours and 40 min to no delays at all. Overall man-hours spent on transport of these patients were reduced by a mean of 12 and 16 min for nurses and porters, respectively. The trial workflow has since been adopted successfully by our institution and since inception has become standard practice, allowing timely review of postoperative X-rays. This has led to increased workforce efficiency as well as timely rehabilitation and discharge of patients.
format Online
Article
Text
id pubmed-8968530
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-89685302022-04-20 Optimisation of postoperative X-ray acquisition for orthopaedic patients Saggi, Sandip Singh Kuah, Le Zhi Dexter Toh, Lee Chuen April Shah, Mohammad Taufik bin Mohammad Wong, Merng Koon Bin Abd Razak, Hamid Rahmatullah BMJ Open Qual Quality Improvement Report Postoperative X-rays are a key part of management of orthopaedic patients. These X-rays serve to check stability of orthopaedic fixation as well as to ensure that there are no peri-implant fractures and periprosthetic fractures following surgical fixation of fractures and arthroplasty procedures, respectively. Timely accurate interpretation of postoperative X-rays are crucial in guiding weight-bearing status as well as rehabilitation. Therefore, delays in X-ray acquisition may impact initiation of postoperative rehabilitation and overall length of stay negatively. The aim of this project is to optimise acquisition of postoperative X-rays in patients undergoing implant surgery and as a result increase efficiency of deployed healthcare staff. A multidisciplinary team was formed to study the efficacy of a new workflow for patients to undergo X-rays immediately after surgery while en-route to the ward. Pretrial and in-trial delays in acquiring X-rays and total man-hours spent on transport were recorded. These processes were refined and integrated to optimise the new workflow. Compared with the old workflow, delays in obtaining X-rays were significantly reduced from the longest of 20 hours and 40 min to no delays at all. Overall man-hours spent on transport of these patients were reduced by a mean of 12 and 16 min for nurses and porters, respectively. The trial workflow has since been adopted successfully by our institution and since inception has become standard practice, allowing timely review of postoperative X-rays. This has led to increased workforce efficiency as well as timely rehabilitation and discharge of patients. BMJ Publishing Group 2022-03-29 /pmc/articles/PMC8968530/ /pubmed/35354599 http://dx.doi.org/10.1136/bmjoq-2020-001216 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Quality Improvement Report
Saggi, Sandip Singh
Kuah, Le Zhi Dexter
Toh, Lee Chuen April
Shah, Mohammad Taufik bin Mohammad
Wong, Merng Koon
Bin Abd Razak, Hamid Rahmatullah
Optimisation of postoperative X-ray acquisition for orthopaedic patients
title Optimisation of postoperative X-ray acquisition for orthopaedic patients
title_full Optimisation of postoperative X-ray acquisition for orthopaedic patients
title_fullStr Optimisation of postoperative X-ray acquisition for orthopaedic patients
title_full_unstemmed Optimisation of postoperative X-ray acquisition for orthopaedic patients
title_short Optimisation of postoperative X-ray acquisition for orthopaedic patients
title_sort optimisation of postoperative x-ray acquisition for orthopaedic patients
topic Quality Improvement Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968530/
https://www.ncbi.nlm.nih.gov/pubmed/35354599
http://dx.doi.org/10.1136/bmjoq-2020-001216
work_keys_str_mv AT saggisandipsingh optimisationofpostoperativexrayacquisitionfororthopaedicpatients
AT kuahlezhidexter optimisationofpostoperativexrayacquisitionfororthopaedicpatients
AT tohleechuenapril optimisationofpostoperativexrayacquisitionfororthopaedicpatients
AT shahmohammadtaufikbinmohammad optimisationofpostoperativexrayacquisitionfororthopaedicpatients
AT wongmerngkoon optimisationofpostoperativexrayacquisitionfororthopaedicpatients
AT binabdrazakhamidrahmatullah optimisationofpostoperativexrayacquisitionfororthopaedicpatients