干旱区生态环境知识资源中心(Arid): Orthopedic Surgery and Anesthesiology Surgical Improvement Strategies Project- Phase III Outcomes

Arid

DOI	10.1016/j.arth.2022.11.002
	Orthopedic Surgery and Anesthesiology Surgical Improvement Strategies Project- Phase III Outcomes
	Matrka, Alexis K.; Smith, Hugh M.; Amundson, Adam W.; Duncan, Christopher M.; Rueter, Matthew J.; Andrijasevic, Sasa; Hannon, Charles P.; Couch, Cory G.; Sanchez-Sotelo, Joaquin; Trousdale, Robert T.; Abdel, Matthew P.
通讯作者	Abdel, MP
来源期刊	JOURNAL OF ARTHROPLASTY
ISSN	0883-5403
EISSN	1532-8406
出版年	2023
卷号	38 期号:5 页码:779-784
英文摘要	Background: Our institution initiated the Orthopedic Surgery and Anesthesiology Surgical Improvement Strategies (OASIS) project in 2017 to improve the quality and efficiency for hip and knee arthroplasties. Phase III of this project aimed to: 1) increase same-day discharge (SDD) of primary total joint arthro-plasties (TJAs) to 20%; 2) maintain or improve 30-day readmission rates; and 3) realize cost savings and revenue increases. Methods: All primary TJAs performed between 2021 and 2022 represented our study cohort, with those in 2019 (prepandemic) establishing the baseline cohort. A multidisciplinary team met weekly to track project tactics and metrics through the entire episode of care from preoperative surgical visit through 30 days postoperatively. Results: The SDD rate increased from 4% at baseline to 37%, with mean lengths of stay (LOS) decreasing from 1.5 to 0.9 days for all primary TJAs. The 30-day readmission rate decreased to 1.2 from 1.3%. Composite changes in surgical volume and cost reductions equaled $5 million. Conclusion: Application of a multidisciplinary team with health systems engineering tools and methods allowed SDD to increase from 4 to 37% with a mean LOS <1 day, resulting in a $5 million incremental gain in profit at a major academic medical center. Importantly, patient safety was not compromised as 30-day readmission rates remained stable. Level of evidence: III Therapeutic. (c) 2022 Elsevier Inc. All rights reserved.
英文关键词	outpatient total joint arthroplasty same-day discharge primary total hip arthroplasty primary total knee arthroplasty primary total shoulder arthroplasty
类型	Article
语种	英语
收录类别	SCI-E
WOS记录号	WOS:000985839700001
WOS关键词	TOTAL HIP ; ARTHROPLASTY
WOS类目	Orthopedics
WOS研究方向	Orthopedics
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/397198
推荐引用方式 GB/T 7714	Matrka, Alexis K.,Smith, Hugh M.,Amundson, Adam W.,et al. Orthopedic Surgery and Anesthesiology Surgical Improvement Strategies Project- Phase III Outcomes[J],2023,38(5):779-784.
APA	Matrka, Alexis K..,Smith, Hugh M..,Amundson, Adam W..,Duncan, Christopher M..,Rueter, Matthew J..,...&Abdel, Matthew P..(2023).Orthopedic Surgery and Anesthesiology Surgical Improvement Strategies Project- Phase III Outcomes.JOURNAL OF ARTHROPLASTY,38(5),779-784.
MLA	Matrka, Alexis K.,et al."Orthopedic Surgery and Anesthesiology Surgical Improvement Strategies Project- Phase III Outcomes".JOURNAL OF ARTHROPLASTY 38.5(2023):779-784.