Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach

"We started this project with the aim of reducing the pre-operative length of stay for assessment of complex surgical patients in a tertiary-referral centre. Through the instigation of a weekly multi-disciplinary team meeting and a formalised patient pathway including referral process, we have demonstrated a reduction in length of stay from 30.1 to 5.7 days that would result in an annual saving of over £177,000 on bed-day costs alone."

Reducing pre-operative length of stay for enterocutaneous fistula repair with a multi-disciplinary approach
M Chamberlain, R Dwyer
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u204075.w1773

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Report cards and outcome measurements to improve the safety of surgical care

"This review summarises the history of American College of Surgeons National Surgical Quality Improvement Project and its components, and describes the evidence that feeding outcomes back to providers, along with real-time comparisons with other hospital rates, leads to quality improvement, better patient outcomes, cost savings and overall improved patient safety."

The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program
M Maggard-Gibbons
BMJ Quality and Safety, 2014; 23: 589-599

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