Lumbar Endoscopic Awake Day Surgery (LEADS) Protocol in Lumbar Spinal Discectomy Surgery
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2021
Achieve Length of Stay (LOS) of <1 day for lumbar spinal discectomy using the LEADS protocol. LEADS protocol effectively reduced LOS, improved patient experience, and optimized resource utilization.
Year Submitted: 2021
Published Date: 31 December 2021
Tags: Care Process ＆ Redesign, Value Based Care, Length Of Stay, Patient Satisfaction
About this Content
Aims
Achieve Length of Stay (LOS) of <1 day for lumbar spinal discectomy using the LEADS protocol.
Background
Traditional lumbar spinal discectomy required 2–6 days of hospitalization, causing high costs and stress on bed availability.
Methods
Implemented LEADS protocol: pre-op education, intraoperative endoscopic techniques, and post-op physiotherapy.
Results
LOS reduced to 0.55 days (from 2.38 days); VAS pain scores and ODI scores improved by 50% by POD 1 and POD 7.
Conclusion
LEADS protocol effectively reduced LOS, improved patient experience, and optimized resource utilization.
Lessons Learnt
Preoperative education, team collaboration, and perioperative rehab enhance success of short-stay surgery.
Keywords
LEADS Protocol, Endoscopic Surgery, LOS Reduction, VAS Pain Score, ODI Improvement
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 | Orthopaedics, Surgery, Rehabilitation Therapy |
Project Lead(s) | Wu Pang Hung |
Project Member(s) | Gamaliel Tan |
Connect with this contributor!
Fione Gun - fione_gun@nuhs.edu.sg
Project Attachment
C_214_NTFGH_QM_2021_Lumbar_Endoscopic_Awake_Day_Surgery_Protocol.pdf