A collaborative project to improve pain outcomes in vascular patients
Care Process & Redesign
Yishun Health One Improvement Festival
National Healthcare Group
3 April 2025
To achieve better analgesic control during bedside wound debridement in patients with diabetic foot ulcers and to reduce the. The project aligns with KTPH & YCH's goal of becoming a 'hospital of choice for patients, for staff', demonstrating improved clinical.
Year Submitted: 2025
Published Date: 03 April 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Cost Saving, Time Saving, Workflow Redesign
About this Content
Aims
To achieve better analgesic control during bedside wound debridement in patients with diabetic foot ulcers and to reduce the need for wound debridement to be performed in the operating theatre under general anaesthesia.
Background
Diabetes Mellitus is a growing health concern with significant impact on financial cost, morbidity and mortality. Diabetic patients undergoing amputations had higher hospital costs and complications such as recurrent foot infections needing multiple surgical debridements.
Methods
A multidisciplinary team was set up to manage diabetic foot patients, utilizing perineural catheters in major limb amputations to reduce postoperative pain scores and opioid requirements.
Results
Perineural catheters result in better analgesic control, allowing for bedside wound debridements with associated time/cost savings and better allocation of OT time.
Conclusion
The project aligns with KTPH & YCH's goal of becoming a 'hospital of choice for patients, for staff', demonstrating improved clinical outcomes and patient satisfaction.
Lessons Learnt
The use of perineural catheters can significantly improve pain management and operational efficiency in diabetic foot care.
Additional Information
The One Improvement Festival 2025 (Category D - Building Strong Partnerships in Improvement Work) – Top 15 Finalists
Keywords
Diabetes, Amputation, Pain Control, Perineural Catheters, Cost Savings
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | Yishun Health One Improvement Festival |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Anaesthesiology, Podiatry |
Project Lead(s) | Felicia Tan Su-Yen |
Project Member(s) | Bin Wern Hsien |
Connect with this contributor!
KTPH & YCH Innovation & Improvement (I&I) Office - i-i@ktph.com.sg
Project Attachment
746_KTPH_OIF_2025_A_collaborative_project_to_improve_pain_ou.pdf