Comparison of appendicectomy outcomes: acute surgical versus traditional pathway
Introduction The acute surgical unit (ASU) is an evolving novel concept introduced to address the challenge of maintaining key performance indicators (KPIs) in the face of an increasing acute workload. Methods The aim of this retrospective study was to compare the performance of the ASU (from June 2...
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| Veröffentlicht in: | ANZ journal of surgery 2013-10, Vol.83 (10), p.739-743 |
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| container_title | ANZ journal of surgery |
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| creator | Pillai, Sandhya Hsee, Li Pun, Andy Mathur, Sachin Civil, Ian |
| description | Introduction
The acute surgical unit (ASU) is an evolving novel concept introduced to address the challenge of maintaining key performance indicators (KPIs) in the face of an increasing acute workload.
Methods
The aim of this retrospective study was to compare the performance of the ASU (from June 2008 to December 2010) at Auckland City Hospital with the traditional model (from January 2006 to May 2008) and benchmark the results against other similar published studies. The analysis was on the basis of KPIs for 1857 appendicectomies, which form a large volume of acute surgical presentations.
Results
Our results show significant improvement in length of stay (2.8 days, 2.6 days, P = 0.0001) and proportion of daytime operations (59.4%, 65.8%, P = 0.004), in keeping with other studies on benchmarking.
Conclusion
The introduction of ASU has led to significant improvements in some KPIs for appendicectomy outcomes in the face of an increasing workload. |
| doi_str_mv | 10.1111/ans.12350 |
| format | Article |
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The acute surgical unit (ASU) is an evolving novel concept introduced to address the challenge of maintaining key performance indicators (KPIs) in the face of an increasing acute workload.
Methods
The aim of this retrospective study was to compare the performance of the ASU (from June 2008 to December 2010) at Auckland City Hospital with the traditional model (from January 2006 to May 2008) and benchmark the results against other similar published studies. The analysis was on the basis of KPIs for 1857 appendicectomies, which form a large volume of acute surgical presentations.
Results
Our results show significant improvement in length of stay (2.8 days, 2.6 days, P = 0.0001) and proportion of daytime operations (59.4%, 65.8%, P = 0.004), in keeping with other studies on benchmarking.
Conclusion
The introduction of ASU has led to significant improvements in some KPIs for appendicectomy outcomes in the face of an increasing workload.</description><identifier>ISSN: 1445-1433</identifier><identifier>EISSN: 1445-2197</identifier><identifier>DOI: 10.1111/ans.12350</identifier><identifier>PMID: 24099126</identifier><language>eng</language><publisher>Australia: Blackwell Publishing Ltd</publisher><subject><![CDATA[Acute Disease ; acute surgery ; acute surgical unit ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Appendectomy - statistics & numerical data ; appendicectomy ; Appendicitis ; Appendicitis - diagnosis ; Appendicitis - surgery ; Auckland City Hospital ; Benchmarking ; Comparative studies ; Critical Pathways - organization & administration ; Emergency Service, Hospital - organization & administration ; Emergency Service, Hospital - statistics & numerical data ; Female ; Hospitals ; Hospitals, Teaching ; Hospitals, Urban ; Humans ; key performance indicator ; Length of Stay - statistics & numerical data ; Male ; Medical emergencies ; Middle Aged ; Models, Organizational ; New Zealand ; Quality Indicators, Health Care ; retrospective ; Retrospective Studies ; Surgery ; Surgery Department, Hospital - organization & administration ; Surgery Department, Hospital - statistics & numerical data ; Tertiary Care Centers ; Time ; Treatment Outcome ; Unnecessary Procedures - statistics & numerical data ; Young Adult]]></subject><ispartof>ANZ journal of surgery, 2013-10, Vol.83 (10), p.739-743</ispartof><rights>2013 Royal Australasian College of Surgeons</rights><rights>2013 Royal Australasian College of Surgeons.</rights><rights>ANZ Journal of Surgery © 2013 Royal Australasian College of Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4890-1c90e3ec3e41d21e7f3e0c6955d5abad13370ed921e88f328c5d627a7f1d4d633</citedby><cites>FETCH-LOGICAL-c4890-1c90e3ec3e41d21e7f3e0c6955d5abad13370ed921e88f328c5d627a7f1d4d633</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fans.12350$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fans.12350$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24099126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pillai, Sandhya</creatorcontrib><creatorcontrib>Hsee, Li</creatorcontrib><creatorcontrib>Pun, Andy</creatorcontrib><creatorcontrib>Mathur, Sachin</creatorcontrib><creatorcontrib>Civil, Ian</creatorcontrib><title>Comparison of appendicectomy outcomes: acute surgical versus traditional pathway</title><title>ANZ journal of surgery</title><addtitle>ANZ J Surg</addtitle><description>Introduction
The acute surgical unit (ASU) is an evolving novel concept introduced to address the challenge of maintaining key performance indicators (KPIs) in the face of an increasing acute workload.
Methods
The aim of this retrospective study was to compare the performance of the ASU (from June 2008 to December 2010) at Auckland City Hospital with the traditional model (from January 2006 to May 2008) and benchmark the results against other similar published studies. The analysis was on the basis of KPIs for 1857 appendicectomies, which form a large volume of acute surgical presentations.
Results
Our results show significant improvement in length of stay (2.8 days, 2.6 days, P = 0.0001) and proportion of daytime operations (59.4%, 65.8%, P = 0.004), in keeping with other studies on benchmarking.
Conclusion
The introduction of ASU has led to significant improvements in some KPIs for appendicectomy outcomes in the face of an increasing workload.</description><subject>Acute Disease</subject><subject>acute surgery</subject><subject>acute surgical unit</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Appendectomy - statistics & numerical data</subject><subject>appendicectomy</subject><subject>Appendicitis</subject><subject>Appendicitis - diagnosis</subject><subject>Appendicitis - surgery</subject><subject>Auckland City Hospital</subject><subject>Benchmarking</subject><subject>Comparative studies</subject><subject>Critical Pathways - organization & administration</subject><subject>Emergency Service, Hospital - organization & administration</subject><subject>Emergency Service, Hospital - statistics & numerical data</subject><subject>Female</subject><subject>Hospitals</subject><subject>Hospitals, Teaching</subject><subject>Hospitals, Urban</subject><subject>Humans</subject><subject>key performance indicator</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical emergencies</subject><subject>Middle Aged</subject><subject>Models, Organizational</subject><subject>New Zealand</subject><subject>Quality Indicators, Health Care</subject><subject>retrospective</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Surgery Department, Hospital - organization & administration</subject><subject>Surgery Department, Hospital - statistics & numerical data</subject><subject>Tertiary Care Centers</subject><subject>Time</subject><subject>Treatment Outcome</subject><subject>Unnecessary Procedures - statistics & numerical data</subject><subject>Young Adult</subject><issn>1445-1433</issn><issn>1445-2197</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1v1DAQhi0EomXhwB9AkbjAIa0_EjvhVi20IFUFCdBKXKypPWldkjjYDmX_Pe5m2wMSvtjyPH5m_BLyktEjltcxjPGIcVHTR-SQVVVdctaqx_szq4Q4IM9ivKGUSdnWT8kBr2jbMi4PyZe1HyYILvqx8F0B04SjdQZN8sO28HMyfsD4rgAzJyziHK6cgb74jSHOsUgBrEvOj_lqgnR9C9vn5EkHfcQX-31Fvp9--Lb-WJ5_Pvu0PjkvTdW0tGSmpSjQCKyY5QxVJ5CaPF1ta7gEy4RQFG2bS03TCd6Y2kquQHXMVlYKsSJvFu8U_K8ZY9KDiwb7Hkb0c9T576KiSimZ0df_oDd-DnnmHUUpr5qc3oq8XSgTfIwBOz0FN0DYakb1Xcw6x6x3MWf21d44Xw5oH8j7XDNwvAC3rsft_0365OLrvfJ0eREGlzRM0CV9ndIUtYUE2o2d31V8uNLWuzuVEExqh32GNaeMc8lok0XlInIx4Z-H1hB-aqmEqvXm4ixPId5vZLPRP8RfosauZA</recordid><startdate>201310</startdate><enddate>201310</enddate><creator>Pillai, Sandhya</creator><creator>Hsee, Li</creator><creator>Pun, Andy</creator><creator>Mathur, Sachin</creator><creator>Civil, Ian</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201310</creationdate><title>Comparison of appendicectomy outcomes: acute surgical versus traditional pathway</title><author>Pillai, Sandhya ; Hsee, Li ; Pun, Andy ; Mathur, Sachin ; Civil, Ian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4890-1c90e3ec3e41d21e7f3e0c6955d5abad13370ed921e88f328c5d627a7f1d4d633</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Acute Disease</topic><topic>acute surgery</topic><topic>acute surgical unit</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Appendectomy - statistics & numerical data</topic><topic>appendicectomy</topic><topic>Appendicitis</topic><topic>Appendicitis - diagnosis</topic><topic>Appendicitis - surgery</topic><topic>Auckland City Hospital</topic><topic>Benchmarking</topic><topic>Comparative studies</topic><topic>Critical Pathways - organization & administration</topic><topic>Emergency Service, Hospital - organization & administration</topic><topic>Emergency Service, Hospital - statistics & numerical data</topic><topic>Female</topic><topic>Hospitals</topic><topic>Hospitals, Teaching</topic><topic>Hospitals, Urban</topic><topic>Humans</topic><topic>key performance indicator</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical emergencies</topic><topic>Middle Aged</topic><topic>Models, Organizational</topic><topic>New Zealand</topic><topic>Quality Indicators, Health Care</topic><topic>retrospective</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Surgery Department, Hospital - organization & administration</topic><topic>Surgery Department, Hospital - statistics & numerical data</topic><topic>Tertiary Care Centers</topic><topic>Time</topic><topic>Treatment Outcome</topic><topic>Unnecessary Procedures - statistics & numerical data</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pillai, Sandhya</creatorcontrib><creatorcontrib>Hsee, Li</creatorcontrib><creatorcontrib>Pun, Andy</creatorcontrib><creatorcontrib>Mathur, Sachin</creatorcontrib><creatorcontrib>Civil, Ian</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>ANZ journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pillai, Sandhya</au><au>Hsee, Li</au><au>Pun, Andy</au><au>Mathur, Sachin</au><au>Civil, Ian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of appendicectomy outcomes: acute surgical versus traditional pathway</atitle><jtitle>ANZ journal of surgery</jtitle><addtitle>ANZ J Surg</addtitle><date>2013-10</date><risdate>2013</risdate><volume>83</volume><issue>10</issue><spage>739</spage><epage>743</epage><pages>739-743</pages><issn>1445-1433</issn><eissn>1445-2197</eissn><abstract>Introduction
The acute surgical unit (ASU) is an evolving novel concept introduced to address the challenge of maintaining key performance indicators (KPIs) in the face of an increasing acute workload.
Methods
The aim of this retrospective study was to compare the performance of the ASU (from June 2008 to December 2010) at Auckland City Hospital with the traditional model (from January 2006 to May 2008) and benchmark the results against other similar published studies. The analysis was on the basis of KPIs for 1857 appendicectomies, which form a large volume of acute surgical presentations.
Results
Our results show significant improvement in length of stay (2.8 days, 2.6 days, P = 0.0001) and proportion of daytime operations (59.4%, 65.8%, P = 0.004), in keeping with other studies on benchmarking.
Conclusion
The introduction of ASU has led to significant improvements in some KPIs for appendicectomy outcomes in the face of an increasing workload.</abstract><cop>Australia</cop><pub>Blackwell Publishing Ltd</pub><pmid>24099126</pmid><doi>10.1111/ans.12350</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Acute Disease acute surgery acute surgical unit Adolescent Adult Aged Aged, 80 and over Appendectomy - statistics & numerical data appendicectomy Appendicitis Appendicitis - diagnosis Appendicitis - surgery Auckland City Hospital Benchmarking Comparative studies Critical Pathways - organization & administration Emergency Service, Hospital - organization & administration Emergency Service, Hospital - statistics & numerical data Female Hospitals Hospitals, Teaching Hospitals, Urban Humans key performance indicator Length of Stay - statistics & numerical data Male Medical emergencies Middle Aged Models, Organizational New Zealand Quality Indicators, Health Care retrospective Retrospective Studies Surgery Surgery Department, Hospital - organization & administration Surgery Department, Hospital - statistics & numerical data Tertiary Care Centers Time Treatment Outcome Unnecessary Procedures - statistics & numerical data Young Adult |
| title | Comparison of appendicectomy outcomes: acute surgical versus traditional pathway |
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