期刊论文详细信息
BMJ Open Quality
Reducing length of stay in patients following liver transplantation using the model for continuous improvement
article
Corinne Weernink1  Melanie Dodds1  Kelly Thomas1  Lynne Sinclair1  Anton Skaro1  Mayur Brahmania2  Yashasavi Sachar2  Abdulrhman Alamr2  Alan Gob3  Ephraim Tang1  Anouar Teriaky2  Karim Qumosani2 
[1] Department of General Surgery , Western University;Department of Medicine, Division of Gastroenterology , Western University;Center for Quality, Innovation and Safety , Western University;Department of Medicine, Division of Hematology , Western University
关键词: Healthcare quality improvement;    Surgery;    Statistical process control;    Quality improvement;   
DOI  :  10.1136/bmjoq-2022-002149
学科分类:药学
来源: BMJ Publishing Group
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【 摘 要 】

Length of stay (LOS) is a significant contributor to overall patient outcomes for patients undergoing liver transplantation. This study documents a quality improvement project aiming to reduce the median post-transplant LOS for liver transplant patients. We instituted five Plan–Do–Study–Act cycles with the goal of reducing LOS by 3 days from a baseline median of 18.4 days over 1 year. Balancing measures such as readmission rates ensured any decrease in stay was not associated with significantly increased patient complications. Over the 28-month intervention period and 24-month follow-up period, there were 193 patients discharged from hospital with a median LOS of 9 days. The changes appreciated during quality improvement interventions carried over to sustained improvements, with no significant variability in LOS postintervention. Discharge within 10 days increased from 18.4% to 60% over the study period, with intensive care unit stay decreasing from a median of 3.4–1.9 days. Thus, the development of a multidisciplinary care pathway, with patient engagement, led to improved and sustained discharge rates with no significant differences in readmission rates.Healthcare quality improvementSurgeryStatistical process controlQuality improvementData availability statementNo data are available.http://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/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND   

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