TITLE

Utility of an Audit in Improving Patient Flow-Application to Laparoscopic Adjustable Gastric Banding in a Public Hospital

AUTHOR(S)
Stiven, P. N.; Lim, H. K.; Abu Bakar, M. A.; Watson, L.; Aly, A.
PUB. DATE
September 2014
SOURCE
Asia Pacific Journal of Health Management;2014, Vol. 9 Issue 3, p47
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Aim: To rationalise the peri-operative stay of patients undergoing Laparoscopic Adjustable Gastric Banding (LAGB) and achieve 23 hour stay as routine for Lap Band Surgery in a public hospital setting in Australia. Methods: 1. Retrospective audit of 20 consecutive patients 2. Prospective time-in-motion analysis of a single case to identify 'non-value added' patient care. 3. Development and implementation of a 'fast-track' protocol. 4. Reassessment of outcomes after implementation of fast-track protocol with prospective evaluation of outcomes in 28 consecutive patients. Results: Twenty patients were retrospectively reviewed demonstrating a median post-operative stay of 46 hours (range 39 to 312). A time in motion study and a literature review demonstrated unnecessary delays to most key steps in recovery and lead us to change our practice. A fast track program was developed and following its implementation, 28 consecutive patients were prospectively evaluated. The post-operative stay following implementation was 20 hours (range 15 to 45). Next day discharge was achieved in all patients except one who stayed an additional day to receive dialysis. Conclusions: 23 hour stay following Laparoscopic Adjustable Gastric Banding is achievable in the public health setting. Clinical audit has been successfully used to identify inefficiencies, facilitate change and reassess the impact of that change thereby ensuring quality of care and efficient utilisation of resources.
ACCESSION #
100293915

 

Related Articles

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics