Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy
dc.contributor.author | Bamber, JR | |
dc.contributor.author | Stephens, TJ | |
dc.contributor.author | Cromwell, DA | |
dc.contributor.author | Duncan, E | |
dc.contributor.author | Martin, GPS | |
dc.contributor.author | Quiney, NE | |
dc.contributor.author | Abercrombie, JE | |
dc.contributor.author | Beckingham, IJ | |
dc.contributor.author | Abraham, J | |
dc.contributor.author | Ahmad, I | |
dc.contributor.author | Ahmed, J | |
dc.contributor.author | Andrews, M | |
dc.contributor.author | Appleton, B | |
dc.contributor.author | Asif, M | |
dc.contributor.author | Bolton, R | |
dc.contributor.author | Briggs, C | |
dc.contributor.author | Bumagat, U | |
dc.contributor.author | Burchfield, S | |
dc.contributor.author | Cochrane, G | |
dc.contributor.author | Dewi, F | |
dc.contributor.author | Dovell, G | |
dc.contributor.author | Dyer, S | |
dc.contributor.author | Edge, J | |
dc.contributor.author | Edwards, R | |
dc.contributor.author | Fabre, I | |
dc.contributor.author | Gemmill, E | |
dc.contributor.author | Griffiths, E | |
dc.contributor.author | Hariharan, D | |
dc.contributor.author | Harrington-Patel, E | |
dc.contributor.author | Hassn, A | |
dc.contributor.author | Hepworth, M | |
dc.contributor.author | Hewes, J | |
dc.contributor.author | Hine, S | |
dc.contributor.author | Hollyman, M | |
dc.contributor.author | Ide, K | |
dc.contributor.author | Jenner, D | |
dc.contributor.author | Johnson, R | |
dc.contributor.author | Jordan, S | |
dc.contributor.author | Karamanakos, S | |
dc.contributor.author | Kovoor, J | |
dc.contributor.author | Kukreja, N | |
dc.contributor.author | Marangoni, G | |
dc.contributor.author | Metcalfe, N | |
dc.contributor.author | Morcous, P | |
dc.contributor.author | Needham, P | |
dc.contributor.author | Patel, N | |
dc.contributor.author | Qureshi, N | |
dc.contributor.author | Rajaretnam, N | |
dc.contributor.author | Rajendran, I | |
dc.contributor.author | Sabah, Y | |
dc.contributor.author | Sanders, DL | |
dc.contributor.author | Sandison, A | |
dc.contributor.author | Sansom, J | |
dc.contributor.author | Seth, R | |
dc.contributor.author | Shetty, V | |
dc.contributor.author | Sollei, T | |
dc.contributor.author | Strong, S | |
dc.contributor.author | Sullivan, L | |
dc.contributor.author | Sutcliffe, RP | |
dc.contributor.author | Talbot, L | |
dc.contributor.author | Taylor, G | |
dc.contributor.author | Varadarajan, V | |
dc.contributor.author | Villatoro, E | |
dc.contributor.author | Wardale, J | |
dc.contributor.author | Weaver, S | |
dc.contributor.author | Wiggins, T | |
dc.contributor.author | Wood, A | |
dc.contributor.author | Improvemen, CQ | |
dc.date.accessioned | 2021-06-02T08:37:53Z | |
dc.date.available | 2019-08-01 | |
dc.date.available | 2021-06-02T08:37:53Z | |
dc.date.issued | 2019-10-08 | |
dc.identifier.citation | J R Bamber, T J Stephens, D A Cromwell, E Duncan, G P Martin, N F Quiney, J F Abercrombie, I J Beckingham, J Abraham, I Ahmad, J Ahmed, M Andrews, B Appleton, M Asif, R Bolton, C Briggs, U Bumagat, S Burchfield, G Cochrane, F Dewi, G Dovell, S Dyer, J Edge, R Edwards, I Fabre, E Gemmill, E Griffiths, D Hariharan, E Harrington-Patel, A Hassn, M Hepworth, J Hewes, S Hine, M Hollyman, K Ide, D Jenner, R Johnson, S Jordan, S Karamanakos, J Kovoor, N Kukreja, G Marangoni, N Metcalfe, P Morcous, P Needham, N Patel, N Qureshi, N Rajaretnam, I Rajendran, Y Sabah, D L Sanders, A Sandison, J Sansom, R Seth, V Shetty, T Sollei, S Strong, L Sullivan, R P Sutcliffe, L Talbot, G Taylor, V Varadarajan, E Villatoro, J Wardale, S Weaver, T Wiggins, A Wood, on behalf of the Cholecystectomy Quality Improvement Collaborative, Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy, BJS Open, Volume 3, Issue 6, December 2019, Pages 802–811, https://doi.org/10.1002/bjs5.50221 | en_US |
dc.identifier.issn | 2474-9842 | |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/72218 | |
dc.description.abstract | Background Acute gallstone disease is a high-volume emergency general surgery presentation with wide variations in the quality of care provided across the UK. This controlled cohort evaluation assessed whether participation in a quality improvement collaborative approach reduced time to surgery for patients with acute gallstone disease to fewer than 8 days from presentation, in line with national guidance. Methods Patients admitted to hospital with acute biliary conditions in England and Wales between 1 April 2014 and 31 December 2017 were identified from Hospital Episode Statistics data. Time series of quarterly activity were produced for the Cholecystectomy Quality Improvement Collaborative (Chole-QuIC) and all other acute National Health Service hospitals (control group). A negative binomial regression model was used to compare the proportion of patients having surgery within 8 days in the baseline and intervention periods. Results Of 13 sites invited to join Chole-QuIC, 12 participated throughout the collaborative, which ran from October 2016 to January 2018. Of 7944 admissions, 1160 patients had a cholecystectomy within 8 days of admission, a significant improvement (P < 0·050) from baseline performance. This represented a relative change of 1·56 (95 per cent c.i. 1·38 to 1·75), compared with 1·08 for the control group. At the individual site level, eight of the 12 Chole-QuIC sites showed a significant improvement (P < 0·050), with four sites increasing their 8-day surgery rate to over 20 per cent of all emergency admissions, well above the mean of 15·3 per cent for control hospitals. Conclusion A surgeon-led quality improvement collaborative approach improved care for patients requiring emergency cholecystectomy. | en_US |
dc.format.extent | 802 - 811 | |
dc.publisher | John Wiley & Sons Ltd. | en_US |
dc.relation.ispartof | BJS OPEN | |
dc.rights | This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by/4.0/), which permits non-commercial reuse, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com | |
dc.title | Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy | en_US |
dc.type | Article | en_US |
dc.rights.holder | © 2019 The Authors. BJS Open published by John Wiley & Sons Ltd on behalf of BJS Society Ltd | |
dc.identifier.doi | 10.1002/bjs5.50221 | |
pubs.author-url | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000489881700001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=612ae0d773dcbdba3046f6df545e9f6a | en_US |
pubs.issue | 6 | en_US |
pubs.notes | Not known | en_US |
pubs.publication-status | Published | en_US |
pubs.publisher-url | https://doi.org/10.1002/bjs5.50221 | |
pubs.volume | 3 | en_US |
dcterms.dateAccepted | 2019-08-01 | |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |