Quality Improvement Project to Improve the Timeliness of Care for Children With Testicular Torsion in the Emergency Department.

ABSTRACT:

Introduction

Testicular torsion (TT) is a urologic emergency that requires timely diagnosis and surgery. We noted variation in the door-to-detorsion times for patients with TT at our institution and our orchiectomy rate was 25.8%. We aimed to decrease the mean door-to-detorsion time from 124.6 to 114.6 minutes or less over 12 months.

Methods

A multidisciplinary team of pediatric emergency medicine, radiology, urology physicians, and nurses, was formed. Our key drivers were use of Testicular Workup for Ischemia and Suspected Torsion (TWIST) score, prompt urology consultation, and efficient transfer from emergency department (ED) to operating room. Our process measures were TWIST score documentation rate and early urology consultation rate, outcome measures were door-to-detors

SUBMITTER: Chinta SS 

PROVIDER: S-EPMC10997231 | biostudies-literature | 2022 Jul-Aug

REPOSITORIES: biostudies-literature