Projects

Redesigning and Delivering Excellent Care for Emergency Surgery & Trauma Patients (ESAT)

Project Categories

Care Process & Redesign

Platform

National Healthcare Innovation and Productivity Medals

Cluster

National Healthcare Group

31 December 2020

To introduce an ESAT service to handle emergency surgical conditions and trauma patients through consultant-led care and. ESAT reshaped emergency surgical care models, achieving better clinical, efficiency, and mortality outcomes without added manpower.

Year Submitted: 2020
Published Date: 31 December 2020

Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Clinical Practice Improvement, Value Based Care, Utilisation, Safe Care, Operational Management, Resource Allocation, Length Of Stay

About this Content

Aims

To introduce an ESAT service to handle emergency surgical conditions and trauma patients through consultant-led care and improved workflows.

Background

Traditional emergency surgical care models were inefficient and lacked dedicated consultant-led management. ESAT was introduced to optimize care delivery.

Methods

Retrospective review of pre- and post-ESAT outcomes using data metrics like time to intervention, length of stay, and trauma case fatality rates.

Results

Reduced time to GS review, improved consultant presence in OT, 27% reduction in mortality rates (1.9% to 0.9%). Length of stay reduced from 4.5 to 3.5 days. Significant improvements in trauma care and acute cholecystitis management.

Conclusion

ESAT reshaped emergency surgical care models, achieving better clinical, efficiency, and mortality outcomes without added manpower costs.

Lessons Learnt

ESAT successfully improved productivity and efficiency without increasing manpower. Tools like Patient Value Compass and OCI enabled value-driven care.

Keywords

Care Redesign, Workflow Improvement, Acute Care, General Surgery, Value Driven Care, Trauma Admission, Length of Stay, Mortality Rate

Innovators' Details

Healthcare Cluster(s)	National Healthcare Group
Organization(s) Involved	Khoo Teck Puat Hospital
Platform(s)	National Healthcare Innovation and Productivity Medals
Healthcare Professional Group(s)	Nursing, Medical
Applicable Specialty or Discipline	Emergency Medicine, Surgery
Project Lead(s)	Jerry Goo Tiong Thye
Project Member(s)	Clement Chia Luck Khng Kang Minli Daniel Lee Jin Kiat Marc Ong Wei Jie Sivaraj Gunasekaran Lim Woan Wui Kanak Naidu Hilda Hu Priscilla Ng Ng Yeuk Fan Tan Kok Yang

Connect with this contributor!

Jerry Goo Tiong Thye - Goo.jerry.tt@ktph.com.sg

Project Attachment

336_KTPH_NHIP_2020_Redesigning_and_Delivering_Excellent_Care_combined.pdf