DaVinci Project
Care Process & Redesign
National Healthcare Group Quality Improvement
National Healthcare Group
31 December 2022
To reduce emergency department (ED) visits requiring admission for haemodialysis patients with late vascular access. Optimized workflows reduced ED visits, hospitalizations, and cost burdens for haemodialysis patients.
Year Submitted: 2022
Published Date: 31 December 2022
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign
About this Content
Aims
To reduce emergency department (ED) visits requiring admission for haemodialysis patients with late vascular access dysfunction by 50%.
Background
Late vascular access dysfunction leads to avoidable hospitalizations, burdening resources and patients.
Methods
Redefined referral workflows, implemented criteria, and increased elective angioplasty.
Results
Achieved 70% reduction in admissions, saving 170 bed-days annually.
Conclusion
Optimized workflows reduced ED visits, hospitalizations, and cost burdens for haemodialysis patients.
Lessons Learnt
Coordinated referral pathways and better patient education improved outcomes significantly.
Additional Information
Awarded NHG Quality Day 2022: Best Award for Building Strong Partnerships
Keywords
Haemodialysis, Vascular Access, Emergency Department
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Khoo Teck Puat Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Emergency Medicine, Surgery, Healthcare Administrators, Urology |
Project Lead(s) | Leong Chuo Ren |
Project Member(s) | Lim Eng Kuang |
Connect with this contributor!
Dr Leong Chuo Ren - leong.chuo.ren@ktph.com.sg