Increasing the use of perioperative risk scoring in emergency laparotomy: nationwide quality improvement programme.

ABSTRACT:

Background

Emergency laparotomy is associated with high morbidity and mortality. The early identification of high-risk patients allows for timely perioperative care and appropriate resource allocation. The aim of this study was to develop a nationwide surgical trainee-led quality improvement (QI) programme to increase the use of perioperative risk scoring in emergency laparotomy.

Methods

The programme was structured using the active implementation framework in 15 state-funded Irish hospitals to guide the staged implementation of perioperative risk scoring. The primary outcome was a recorded preoperative risk score for patients undergoing an emergency laparotomy at each site.

Results

The rate of patients undergoing emergency laparotomy receiving a perioperative risk sc

SUBMITTER: Nally DM 

PROVIDER: S-EPMC9309802 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature