RT Journal Article
SR Electronic
T1 Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
JF BMJ Quality Improvement Reports
JO BMJ Qual Improv Report
FD British Medical Journal Publishing Group
SP u204075.w1773
DO 10.1136/bmjquality.u204075.w1773
VO 4
IS 1
A1 Mark Chamberlain
A1 Rebecca Dwyer
YR 2015
UL http://bmjopenquality.bmj.com/content/4/1/u204075.w1773.abstract
AB 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.