Key result
ANZELA-QI care bundle implementation is linked to declining in-hospital mortality, reaching an overall 7.1%.
Why the study?
The outcomes of emergency laparotomy and the feasibility of a national multi-disciplinary quality improvement project based on evidence-based care standards were not established.
Does a multi-disciplinary quality improvement project based on evidence-based care standards improve outcomes in patients undergoing emergency laparotomy?
Population
2755 patients undergoing 2886 emergency laparotomies across 24 hospitals
Comparison
Care before and after implementation of a quality improvement project based on eight care standards
Design
Observational pilot study using an online audit database with monthly quality improvement run charts
Follow-up
In-hospital
Authors
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Supports national EL QI audit feasibility; leaves open whether bundle improves outcomes in larger ANZ implementation.
Observational (n=2,755)
Yes
Does a multi-disciplinary quality improvement project based on evidence-based care standards improve outcomes in patients undergoing emergency laparotomy?
Implementation of a quality improvement bundle for emergency laparotomy is feasible and associated with declining in-hospital mortality and length of stay.
Aitken et al. (2021) conducted an observational in Emergency laparotomy (n=2,755). Quality improvement bundle (ANZELA-QI) was evaluated on In-hospital mortality. Participation in the ANZELA-QI pilot study was associated with an overall in-hospital mortality of 7.1%, which significantly declined during the audit.
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