Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy
| Autor: | Bamber, Stephens, TJ, Cromwell, DA, Duncan, E, Martin, GP, Quiney, NF, Abercrombie, JF, Beckingham, IJ, Cholecystectomy Quality Improvement Collaborative |
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| Přispěvatelé: | Bamber, JR [0000-0002-8763-6495], Apollo - University of Cambridge Repository |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Program evaluation
medicine.medical_specialty Time Factors Quality management medicine.medical_treatment lcsh:Surgery MEDLINE Gallstones Disease State Medicine Time-to-Treatment Patient Admission Time to surgery Upper GI Humans Medicine Cholecystectomy Intersectoral Collaboration Wales business.industry Health Plan Implementation lcsh:RD1-811 Original Articles General Medicine National health service Quality Improvement England HPB Acute Disease Emergency medicine Cohort Original Article Emergency Service Hospital business Program Evaluation |
| Zdroj: | BJS Open BJS Open, Vol 3, Iss 6, Pp 802-811 (2019) |
| ISSN: | 2474-9842 |
| Popis: | Background Acute gallstone disease is a high‐volume emergency general surgery presentation with wide variations in the quality of care provided across the UK. This controlled cohort evaluation assessed whether participation in a quality improvement collaborative approach reduced time to surgery for patients with acute gallstone disease to fewer than 8 days from presentation, in line with national guidance. Methods Patients admitted to hospital with acute biliary conditions in England and Wales between 1 April 2014 and 31 December 2017 were identified from Hospital Episode Statistics data. Time series of quarterly activity were produced for the Cholecystectomy Quality Improvement Collaborative (Chole‐QuIC) and all other acute National Health Service hospitals (control group). A negative binomial regression model was used to compare the proportion of patients having surgery within 8 days in the baseline and intervention periods. Results Of 13 sites invited to join Chole‐QuIC, 12 participated throughout the collaborative, which ran from October 2016 to January 2018. Of 7944 admissions, 1160 patients had a cholecystectomy within 8 days of admission, a significant improvement (P Evaluation was undertaken to determine whether a 12‐hospital quality improvement collaborative could be effective in assisting surgeons to implement national guidance to improve the care pathway for patients with acute gallstone disease. A negative binomial regression model showed a significant improvement in the 8‐day surgery rate for participating hospitals (in line with national guidance), above any national trend of all English and Welsh hospitals. A surgeon‐led quality improvement collaborative approach is effective at improving care for patients requiring emergency cholecystectomy. Evidence of the value of a quality improvement programme |
| Databáze: | OpenAIRE |
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