Outpatient laparoscopic cholecystectomy: patient outcomes after implementation of a clinical pathway

Annals of Surgery
J F CallandR B Adams

Abstract

To determine the success of a clinical pathway for outpatient laparoscopic cholecystectomy (LC) in an academic health center, and to assess the impact of pathway implementation on same-day discharge rates, safety, patient satisfaction, and resource utilization. Laparoscopic cholecystectomy is reported to be safe for patients and acceptable as an outpatient procedure. Whether this experience can be translated to an academic health center or larger hospital is uncertain. Clinical pathways guide the care of specific patient populations with the goal of enhancing patient care while optimizing resource utilization. The effectiveness of these pathways in achieving their goals is not well studied. During a 12-month period beginning April 1, 1999, all patients eligible for an elective LC (n = 177) participated in a clinical pathway developed to transition LC to an outpatient procedure. These were compared with all patients undergoing elective LC (n = 208) in the 15 months immediately before pathway implementation. Successful same-day discharges, reasons for postoperative admission, readmission rates, complications, deaths, and patient satisfaction were compared. Average length of stay and total hospital costs were calculated and compar...Continue Reading

References

Aug 1, 1992·Archives of Surgery·N J SoperS W Ashley
Nov 1, 1990·American Journal of Surgery·E J Reddick, D O Olsen
Nov 1, 1990·Canadian Operating Room Nursing Journal·S Gabriel
Dec 1, 1989·JAMA : the Journal of the American Medical Association·B S GoldJ M Neuhaus
Oct 1, 1994·Journal of Laparoendoscopic Surgery·G J FarhaR L Beamer
Dec 1, 1995·Surgical Endoscopy·C J SaundersB M Wolfe
Jan 1, 1996·Surgical Endoscopy·M A FiorilloR J Silich
Apr 1, 1996·Journal of Laparoendoscopic Surgery·E TaylorC Kennedy
Jul 1, 1997·The British Journal of Surgery·O MjålandT Buanes
Aug 1, 1997·Journal of the American College of Surgeons·D LamS J Hom
Nov 1, 1997·Surgical Endoscopy·P K Narain, E J DeMaria
Nov 14, 1998·The Australian and New Zealand Journal of Surgery·P C WillsherD E Litwin
Dec 8, 1998·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·T W BauerE F Rosato
Jun 3, 1999·The Surgical Clinics of North America·H Kehlet
Aug 24, 1999·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·K D LillemoeS D Parker

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Citations

Jun 4, 2008·Langenbeck's Archives of Surgery·Markus K MüllerPierre-Alain Clavien
Jul 9, 2009·Surgical Endoscopy·Chad R EdwardsRichard E Standaert
Aug 31, 2010·Irish Journal of Medical Science·S CowmanB Meshkat
Dec 19, 2002·American Journal of Surgery·Thomas N RobinsonJon M Burch
Nov 16, 2001·Journal of the American College of Surgeons·K W Sharp
May 20, 2003·ANZ Journal of Surgery·Alison Blatt, Stanley Chen
Sep 14, 2006·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Abdul KasemShamsi El-Hasani
Jan 16, 2013·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jaime Ruiz-TovarRafael Calpena
Jul 6, 2011·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Kirstine M Harboe, Linda Bardram
Apr 12, 2002·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Henrik Kehlet
Jan 30, 2004·Annual Review of Medicine·Sir Ara Darzi, Yaron Munz
Nov 19, 2010·Annals of Surgical Oncology·Charles T TuggleJulie Ann Sosa
Jul 9, 2009·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Biljana StosićNebojsa Ignjatović
Mar 16, 2013·World Journal of Gastrointestinal Surgery·Atsushi SatoTomotaka Okubo
Apr 26, 2008·Surgical Endoscopy·Daria K Wasowicz-KempsBert van Ramshorst
Dec 7, 2013·The Spine Journal : Official Journal of the North American Spine Society·Kimon BekelisNathan Simmons
Jul 11, 2006·Surgical Endoscopy·D K Wasowicz-KempsB van Ramshorst
Mar 13, 2014·World Journal of Surgery·José Gustavo OlijnykElias Couto e Almeida Filho
Nov 15, 2006·International Journal of Health Care Quality Assurance Incorporating Leadership in Health Services·S G ElkhuizenN S Klazinga
Dec 4, 2014·Cirugía española·Guillermo Soler-DordaPaula Martón Bedia
Sep 21, 2013·Journal of the American College of Surgeons·Ajit RaoScott Q Nguyen
May 23, 2012·Journal of the American College of Surgeons·Casandra L CashRandall W Smith
Sep 6, 2011·The Veterinary Clinics of North America. Small Animal Practice·Philipp D Mayhew
Dec 18, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Alfred Wei Chieh KowChoon Kiat Ho
Mar 30, 2011·Journal of the American College of Surgeons·Lisa M BrownJohn M Inadomi
Mar 15, 2011·Journal of the American College of Surgeons·Kristin M SheffieldTaylor S Riall
Dec 3, 2010·Journal of the American College of Surgeons·Rajan P KulkarniMichael W Yeh
Dec 3, 2009·Gastrointestinal Endoscopy Clinics of North America·Timothy A WoodwardMichael B Wallace
May 21, 2008·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·C G Collins, A L Leahy
Nov 11, 2008·The Surgical Clinics of North America·David R Elwood
Aug 5, 2008·The Journal of Surgical Research·Howard C Jen, Stephen B Shew
Dec 6, 2005·The Surgical Clinics of North America·Lena M Napolitano
Apr 22, 2006·ANZ Journal of Surgery·Matthew S MetcalfeGuy J Maddern
Aug 9, 2013·Neuromodulation : Journal of the International Neuromodulation Society·Symeon MissiosKimon Bekelis
Oct 17, 2015·World Journal of Surgery·Colleen M TrevinoTravis P Webb
May 20, 2015·Cirugía española·José Bueno LledóEduardo García Granero
Oct 5, 2010·International Journal of Surgery·Jacob A AkohThomas P Bourne

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