Reduce Time to Intervention for Patients Admitted for Malfunctioning Vascular Access (AVF)
Care Process & Redesign
Technology
National Healthcare Group Quality Improvement
National Healthcare Group
24 December 2025
Implementation of a new workflow with interventions to reduce time to intervention for patients admitted with malfunctioning. Early intervention and improved communication can significantly reduce the length of stay and improve patient outcomes, although cost.
Year Submitted: 2025
Published Date: 24 December 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Value Based Care, Length Of Stay, Access To Care, Waiting Time, Technology, Information ＆ Communication Technology, Zoom/Team, Functional Outcome
About this Content
Aims
Implementation of a new workflow with interventions to reduce time to intervention for patients admitted with malfunctioning vascular access. This includes setting up communication channels like TigerText/Teams group with IR and IR sister with Vascular.
Background
Implementation of a new workflow with interventions to reduce time to intervention for patients admitted with malfunctioning vascular access. This includes setting up communication channels like TigerText/Teams group with IR and IR sister with Vascular.
Methods
Implementation of a new workflow with interventions to reduce time to intervention for patients admitted with malfunctioning vascular access. This includes setting up communication channels like TigerText/Teams group with IR and IR sister with Vascular.
Results
Post-intervention, the average length of stay per patient reduced from 7 days to 3 days. Cost savings per patient were calculated, but overall resulted in a negative savings of -$4492 annually.
Conclusion
Early intervention and improved communication can significantly reduce the length of stay and improve patient outcomes, although cost savings were not realized as expected.
Lessons Learnt
The problem was not due to a lack of resources but a need to prioritize with IR. Improved communication and prioritization were key to reducing delays.
Keywords
Fistula, Salvage, Intervention, Radiology, Surgery, Cost Savings
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | National Healthcare Group Quality Improvement |
Healthcare Professional Group(s) | Medical |
Applicable Specialty or Discipline | Surgery, Diagnostic Radiography |
Project Lead(s) | Yong Enming, Justin Kwan |
Project Member(s) | Zhang Li |
Connect with this contributor!
Group Quality - nhggroup.QRM@nhghealth.com.sg