Same-Day Discharge After Robotic Hysterectomy: A Resource Utilization and Quality Improvement Project. WMJ 2022 Oct;121(3):243-246
Date
10/28/2022Pubmed ID
36301654Scopus ID
2-s2.0-85140865266 (requires institutional sign-in at Scopus site) 1 CitationAbstract
BACKGROUND: We implemented a low-cost education initiative to improve the rate of same-day discharge following hysterectomy performed for malignancy and assessed feasibility and impact on resource utilization.
METHODS: Development and implementation of faculty, patient, clinical, and perioperative staff education regarding the goal of same-day discharge for patients undergoing robotic hysterectomy and staging by gynecologic oncologists was started in July 2019. Chart review of 103 patients prior to the intervention and 112 patients after the start of the intervention was completed.
RESULTS: The rate of same-day discharge increased from 5% to 32% following the low-cost process change initiative, and a total of approximately 682 inpatient care hours were saved per 31 patients.
DISCUSSION: The rate of same-day discharges after hysterectomy and staging performed by gynecologic oncologists can be safely increased with a simple educational intervention, which can save significant patient care resources.
Author List
McAlarnen LA, Maurer JE, Knaub A, Hopp E, Streitenberger K, Bishop E, Bradley W, Rader J, Uyar DAuthors
Erin Bishop MD Associate Professor in the Obstetrics and Gynecology department at Medical College of WisconsinWilliam H. Bradley MD Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
Elizabeth E. Hopp MD Assistant Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
Lindsey A. McAlarnen MD Gynecology Oncology Fellow in the Obstetrics and Gynecology department at Medical College of Wisconsin
Janet Sue Rader MD Chair, Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
Denise S. Uyar MD Professor in the Obstetrics and Gynecology department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
FemaleHumans
Hysterectomy
Laparoscopy
Patient Discharge
Postoperative Complications
Quality Improvement
Retrospective Studies
Robotic Surgical Procedures
