采用多学科方法缩短肠造口瘘修复术的术前住院时间。
Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach.
作者信息
Chamberlain Mark, Dwyer Rebecca
机构信息
University College London Hospitals NHS Foundation Trust, UK.
出版信息
BMJ Qual Improv Rep. 2015 Jan 16;4(1). doi: 10.1136/bmjquality.u204075.w1773. eCollection 2015.
Abstract
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.
摘要
对复杂手术患者进行术前评估可能是一个漫长的过程，尽管这对于将并发症发生率降至最低至关重要。在一家专门从事肠皮肤瘘手术修复的三级转诊科室，一项基线审计显示平均住院时间为30.1天，主要原因是各专科之间协调不佳。在引入每周一次的多学科团队会议并将患者治疗路径规范化之后，这种住院时间缩短至5.7天（p<0.01），为科室节省了大量费用。
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