2.50
Hdl Handle:
http://hdl.handle.net/10755/162855
Type:
Presentation
Title:
Determining Best Practices: Appendicitis-Starting in the Emergency Department
Abstract:
Determining Best Practices: Appendicitis-Starting in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Westphal, Stacey, RN, MS, CEN
P.I. Institution Name:Cape Canaveral Hospital-HealthFirst
Title:Stacey Westphal, RN, MS, CEN
Contact Address:522 Summerst Court, Indian Harbour Beach, FL, 32937, USA
Contact Telephone:(321) 868-7651
Purpose: Abdominal pain is the highest volume, non-trauma related patient chief complaint in the emergency department. For those patients that present with abdominal pain and are admitted, the average length of stay (LOS) in the emergency department is 5.21 hours. In investigating the reason for the increased LOS in this patient population, multiple causes were identified. The goal was to develop care pathways for patients presenting with possible appendicitis, thus reducing their overall LOS in the emergency department. In addition the goal was to ensure a 100% sensitivity in respect to a correct diagnosis and develop a cost-effective process. The appendicitis pathway included the emergency department stay, the surgical visit, the post-operative stay, and the post-discharge period. Design: This project was a collaborative multi-discipline quality assurance initiative to standardize and coordinate care of the patient presenting with appendicitis. Setting and Participants: The project emergency department was a 21-bed Level II facility located in a rapidly growing coastal community. It is one of three hospitals within a health care system. The project team included nurses, physicians, surgeons, radiologists, pediatricians, CT technicians, pharmacists, case management, clinical informatics, laboratory services, and quality and outcomes management. Methods: The team reviewed data collected through concurrent and retrospective chart reviews and examined current ED practice and the research and clinical literature. Using this information, the team developed a continuum of care for those patients presenting with symptoms suggestive of appendicitis. Several pathways were developed for the emergency department patient presenting with symptoms suggestive of appendicitis: 1) The General Guideline; 2) Pediatric Population; 3) Females of Reproductive Age; 4) Male Population; and 5) Age Over 50 and/or Co-morbid Medical-Surgical History. Results: Nurses were able to quickly place the patient on the appropriate care pathway resulting in continuity and efficiency of care. Following the care pathway in the emergency department has decreased the average length of stay for the appendicitis patient by one hour and ten minutes. There has been no readmission for "missed" appendicitis. The care pathway has just recently been rolled out through the entire facility, so costs and continuity are future measurements that will be analyzed. Recommendations: Creating an appendicitis care pathway for high-volume abdominal pain patients has helped to assure that best practices start in the emergency department and continue throughout the patient's hospital stay. [Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDetermining Best Practices: Appendicitis-Starting in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162855-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Determining Best Practices: Appendicitis-Starting in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Westphal, Stacey, RN, MS, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Cape Canaveral Hospital-HealthFirst</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Stacey Westphal, RN, MS, CEN</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">522 Summerst Court, Indian Harbour Beach, FL, 32937, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(321) 868-7651</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Stacey.Westphal@health-first.org</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Abdominal pain is the highest volume, non-trauma related patient chief complaint in the emergency department. For those patients that present with abdominal pain and are admitted, the average length of stay (LOS) in the emergency department is 5.21 hours. In investigating the reason for the increased LOS in this patient population, multiple causes were identified. The goal was to develop care pathways for patients presenting with possible appendicitis, thus reducing their overall LOS in the emergency department. In addition the goal was to ensure a 100% sensitivity in respect to a correct diagnosis and develop a cost-effective process. The appendicitis pathway included the emergency department stay, the surgical visit, the post-operative stay, and the post-discharge period. Design: This project was a collaborative multi-discipline quality assurance initiative to standardize and coordinate care of the patient presenting with appendicitis. Setting and Participants: The project emergency department was a 21-bed Level II facility located in a rapidly growing coastal community. It is one of three hospitals within a health care system. The project team included nurses, physicians, surgeons, radiologists, pediatricians, CT technicians, pharmacists, case management, clinical informatics, laboratory services, and quality and outcomes management. Methods: The team reviewed data collected through concurrent and retrospective chart reviews and examined current ED practice and the research and clinical literature. Using this information, the team developed a continuum of care for those patients presenting with symptoms suggestive of appendicitis. Several pathways were developed for the emergency department patient presenting with symptoms suggestive of appendicitis: 1) The General Guideline; 2) Pediatric Population; 3) Females of Reproductive Age; 4) Male Population; and 5) Age Over 50 and/or Co-morbid Medical-Surgical History. Results: Nurses were able to quickly place the patient on the appropriate care pathway resulting in continuity and efficiency of care. Following the care pathway in the emergency department has decreased the average length of stay for the appendicitis patient by one hour and ten minutes. There has been no readmission for &quot;missed&quot; appendicitis. The care pathway has just recently been rolled out through the entire facility, so costs and continuity are future measurements that will be analyzed. Recommendations: Creating an appendicitis care pathway for high-volume abdominal pain patients has helped to assure that best practices start in the emergency department and continue throughout the patient's hospital stay. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:18Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.