Evaluation of the Collaborative Use of an Evidence-Based Care Bundle in Emergency Laparotomy | Zendy

Geeta Aggarwal | Zendy; Carol J. Peden | Zendy; Mohammed A. Mohammed | Zendy; Anne Pullyblank | Zendy; Ben Ames Williams | Zendy; Tim Stephens | Zendy; Suzanne Kellett | Zendy; James KirkbyBott | Zendy; Nial Quiney | Zendy

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Evaluation of the Collaborative Use of an Evidence-Based Care Bundle in Emergency Laparotomy

Author(s) -

Geeta Aggarwal,

Carol J. Peden,

Mohammed A. Mohammed,

Anne Pullyblank,

Ben Ames Williams,

Tim Stephens,

Suzanne Kellett,

James KirkbyBott,

Nial Quiney

Publication year - 2019

Publication title -

jama surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.757

H-Index - 176

eISSN - 2168-6262

pISSN - 2168-6254

DOI - 10.1001/jamasurg.2019.0145

Subject(s) - medicine , laparotomy , perioperative , emergency medicine , quality management , emergency department , psychological intervention , intensive care unit , medical emergency , intensive care medicine , nursing , surgery , service (business) , economy , economics

Key Points Question Is a quality improvement collaborative approach to implementation of a care bundle associated with reductions in mortality from emergency laparotomy? Findings In this study of a collaborative project involving 28 hospitals and a total of 14 809 patients, reductions in mortality and length of stay were seen after implementation of a care bundle. Improvement took time to occur and was not seen until the second year of the collaborative project. Meaning The findings suggest that hospitals should consider adopting a care bundle approach and participating in a collaborative group to see improvement in outcomes for patients undergoing emergency laparotomy.

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