Introduction
Evaluate postoperative time & adverse patient outcomes in day case surgery at Nevill Hall Hospital (NHH), Abergavenny.
Specifically, review time in phase one and phase two recovery following the implementation of two day surgery bundles.
We collected patient and staff views following all interventions.
Methods
Time and adverse outcome data collected from phase one and two recovery staff following implementation of day surgery bundles
Phase one
· Time in recovery
Phase two
· Time on trolley on ward
· Time on chairs before discharge
Cycle one bundle included “sip til send” and a day surgery specific drug chart.
Cycle two bundle added a reorganisation of the day surgery unit (the racetrack) + staff training.
Adverse patient outcomes included pain, sedation and nausea & vomiting.
Cases were excluded due to incomplete data, delayed discharge due to transport or complications resulting in transfer to another hospital.
Patient and staff views were collected via email survey link.
Results
Baseline October 2023 (n=46).
Average time in phase one and two 185 minutes
Cycle 1 May 2024 (n= 42).
27% reduction in time for laparoscopic cholecystectomy
Cycle 2 November 2024 (n=53)
25% (45 minute) reduction in total post operative time
37% reduction in time for laparoscopic cholecystectomy
Adverse outcomes reduced to <5% in phase two recovery (20% baseline).
Conclusions
Our bundles reduced postoperative time by 25% (45 minutes) and 37% for laparoscopic cholecystectomy patients
Significant reduction in adverse outcomes for patients in recovery with <5% experiencing issues in chairs prior to discharge home.
Patients and staff reported positive feedback.
Authors
James Cutlan
Grange University Hospital, Newport, United Kingdom
Heather Rodgers
Grange University Hospital, Newport, United Kingdom