[AVBC 2025] Reducing Wait Time to Surgical Intervention of Existing Dysfunctional or Infected Peritoneal...
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
19 November 2025
To reduce the time between referral and surgical intervention for dysfunctional PD catheters to less than 30 days, thereby. A standardized and shared workflow significantly reduced wait times for surgical interventions, improving patient care and reducing.
Year Submitted: 2025
Published Date: 19 November 2025
Tags: Referral Rate, Access To Care, Care Process ＆ Redesign, Waiting Time, Quality Improvement, Workflow Redesign
About this Content
Aims
To reduce the time between referral and surgical intervention for dysfunctional PD catheters to less than 30 days, thereby minimizing patient costs and complications.
Background
Prolonged wait times for surgical intervention of PD catheters lead to financial burdens and disruptions for patients. A quality improvement project was initiated to address these issues.
Methods
A multidisciplinary team from the Renal and Urology departments was formed. They analyzed the patient journey, identified root causes of delays, and implemented a shared workflow and Microsoft Teams group to improve coordination.
Results
After interventions, 6 out of 7 patients had surgical interventions within 30 days, with a median wait time of 7 days. The shared workflow standardized the referral process and improved communication.
Conclusion
A standardized and shared workflow significantly reduced wait times for surgical interventions, improving patient care and reducing costs.
Lessons Learnt
The project highlighted the importance of standardized protocols and inter-departmental coordination. Initial outcomes are promising, but ongoing monitoring is necessary to ensure sustainability.
Keywords
Surgical Intervention, Dialysis, Catheter, Standardised Protocol, Inter-departmental Coordination
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Medical, Nursing |
Applicable Specialty or Discipline | Urology, Nephrology |
Project Lead(s) | Tai Yinxia |
Project Member(s) | Daniel Yong Zhan Peng |
Connect with this contributor!
Tai Yinxia - yinxia.tai@nhghealth.com.sg