Improving Outcome of Patients Undergoing Emergency Laparotomy
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2023
Increase Clinical Quality Index (CQI) for emergency laparotomy patients from 4% to ≥20% by Dec 2022. Project outcomes demonstrate scalability and sustainability in improving surgical care quality.
Year Submitted: 2023
Published Date: 31 December 2023
Tags: Care Process ＆ Redesign, Value Based Care, Functional Outcome, Safe Care
About this Content
Aims
Increase Clinical Quality Index (CQI) for emergency laparotomy patients from 4% to ≥20% by Dec 2022.
Background
Emergency laparotomy is a high-risk surgery with significant mortality, requiring a consistent and coordinated care pathway.
Methods
Implemented phased changes for care elements, including NELA scoring, antibiotic administration, and post-op care.
Results
CQI increased to 29% by 2022; mortality reduced by 6% in 2021 and 2% in 2022; cost savings of $10k per patient achieved.
Conclusion
Project outcomes demonstrate scalability and sustainability in improving surgical care quality.
Lessons Learnt
Success attributed to the combination of "hard clinical core" and "soft QI periphery.
Keywords
EL, NELA, CQI, Pre Surgery, Post Surgery, Mortality, Intensive Care, Surgery
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Surgery, Anaesthesiology, Intensive Care Medicine, Infectious Diseases |
Project Lead(s) | Stephanie Teo |
Project Member(s) | Multidisciplinary team including surgeons |
Connect with this contributor!
Stephanie Teo - Stephanie_TEO@nuhs.edu.sg
Project Attachment
C_346_NTFGH_QM_2023_Improving_Outcome_of_Patients_Undergoing_Emergency_Laparotomy.pdf