Quality improvement and emergency laparotomy care: what have we learnt from recent major QI efforts?
Postoperative care/methods
operative mortality
quality improvement
surgical procedures
Journal
Clinical medicine (London, England)
ISSN: 1473-4893
Titre abrégé: Clin Med (Lond)
Pays: England
ID NLM: 101092853
Informations de publication
Date de publication:
Nov 2019
Nov 2019
Historique:
entrez:
17
11
2019
pubmed:
17
11
2019
medline:
22
9
2020
Statut:
ppublish
Résumé
More than 1.53 million adults undergo inpatient surgery in the UK NHS. Patients undergoing emergency abdominal surgery have a much greater risk of death than patients admitted for elective surgery. Widespread variations in key standards of care between hospitals exist and are associated with differences in mortality rates.Recently there have been three large-scale initiatives to improve quality of care for emergency laparotomy patients: the National Emergency Laparotomy Audit, the enhanced perioperative care for high-risk patients trial and the Emergency Laparotomy Collaborative. Here we provide a critical review of what we currently know about the use of structured methods for improving the quality of healthcare services, with reference to the three initiatives. We find that using structured methods to improve care is the hallmark of quality improvement but attention must too be paid to the context in which these methods are used.
Identifiants
pubmed: 31732584
pii: 19/6/454
doi: 10.7861/clinmed.2019.0251
pmc: PMC6899256
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
454-457Informations de copyright
© 2019 Royal College of Physicians.
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