Promoting Same-Day Discharge for Gynecologic Oncology Patients in Minimally Invasive Hysterectomy

Journal of Minimally Invasive Gynecology
Cynthia R Fountain, Laura J Havrilesky

Abstract

Despite clear data demonstrating feasibility, safety, and cost-effectiveness of same-day discharge after minimally invasive hysterectomy, a paucity of data suggests ways to increase same-day discharge rates. Our objectives were to promote same-day discharge after minimally invasive hysterectomy using preoperative patient education videos, provider same-day discharge awareness initiatives, and standardization of postoperative management and to investigate reasons for overnight admission after surgery (non-same-day discharge). A quality improvement project measured rates of same-day discharge, patient satisfaction, and readmission during the 5 months before and after video implementation. Readmission rates were calculated as a surrogate for safety. A retrospective chart review was conducted of patients who underwent minimally invasive hysterectomy during the 5 months after video implementation, comparing 43 same-day discharges to 26 non-same-day discharge patients who met criteria for same-day discharge. Differences between groups were analyzed using 2-tailed t tests or logistic regression (continuous variables) and Fisher's exact test or χ2 test (categorical variables). Next, providers were educated about same-day discharge, and...Continue Reading

Citations

Apr 22, 2020·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Gokhan Sami KilicYong-Fang Kuo
Apr 3, 2020·The Patient·Stephanie L LimShelby D Reed
Nov 13, 2019·Journal of Minimally Invasive Gynecology·Daniel SanabriaRene Pareja
Jun 9, 2020·Journal of Minimally Invasive Gynecology·Rachael B SmithJamal Mourad
Apr 22, 2021·International Urogynecology Journal·Elizabeth H RobisonCatherine O Hudson
May 10, 2021·Journal of Minimally Invasive Gynecology·Erin K CraneR Wendel Naumann
Jun 29, 2021·Journal of Minimally Invasive Gynecology·Andreas EllinidesDimitrios Ntourakis
Jul 6, 2021·Journal of Minimally Invasive Gynecology·Sophia N BrancazioR Wendel Naumann
Jan 8, 2021·Female Pelvic Medicine & Reconstructive Surgery·Lisa C HickmanCecile A Ferrando
Oct 22, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Abdelrahman AlAshqarMostafa A Borahay
Jul 15, 2021·Female Pelvic Medicine & Reconstructive Surgery·Sarah EvansErinn M Myers

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