Reducing the number of days taken for coronary artery bypass grafting for cardiology in-patients, within New Cross Hospital, Wolverhampton – a quality improvement project.

Cardiologia Croatica

article

Sam Hughes¹  Camilla Baker¹  Abhirami Gautham.¹ 

[1] New Cross Hospital [Royal Wolverhampton Trust], Department of Cardiology

关键词: cardiology;    coronary artery bypass grafting;    quality improvement project;    surgery;   

DOI  :  10.15836/ccar2019.210

学科分类：心脏病和心血管学

来源: Hrvatsko Kardiolosko Drustvo / Croatian Cardiac Society

【 摘 要 】

Background: Following an acute coronary event, the current process of referring a patient for Coronary Artery Bypass Grafting (CABG) at New Cross Hospital, Wolverhampton, has the potential to be improved. At present, patients can wait up to 5 days before being referred to cardiothoracics, often becoming more unwell during the delay. At times, patients become too unwell to undergo the planned surgery. Moreover, additional delays frequently arise due to difficulty tracking the referral. Objective: To reduce the number of days between coronary angiogram to cardiothoracic review from 3 to 1 AND the number of days between coronary angiogram to CABG from 6 to 5. Method: The following 2 measures / PDSA cycles were implemented; - Cycle 1: Same-Day Referrals - Upon reviewing the coronary angiogram, if the consultant cardiologist on-call deems the patient to be a ‘clear surgical candidate’, then a ‘same day’ referral to cardiothoracics for pre-assessment via the Teliologic system is made. - Cycle 2: ‘PostAngiogram’ Assessment Page [Green Form] - Instead of utilizing numerous non-specific continuation sheets, a dedicated pro-forma is used to document the coronary angiogram results and to track the patient’s subsequent plan (Figure 1). Results: Coronary angiogram to cardiothoracic review reduced from 3 to 2 days, whilst from coronary angiogram to CABG reduced from 6 to 5 days. In addition, the average total length of stay has reduced by 3 days, improving patient outcomes and saving the hospital an average of £1200 per patient.

【 授权许可】

Unknown