Discharge within 24 to 72 Hours of Colorectal Surgery Is Associated with Low Readmission Rates when Using Enhanced Recovery Pathways

Prospective Evaluation of Discharge Trends after Colorectal Surgery within an Enhanced Recovery after Surgery Pathway

“…In this study, complications occurred only in 9.5% patients with a prolonged hospitalization despite having achieved all discharge criteria. Fortunately, most studies agree that early discharge (described variably between POD 1 and 5) is safe after colorectal surgery, with readmission rates reported to be 4-14% [16][17][18][19][20] . When patients are aware of the criteria for safe discharge, and they have a 24/24 h-telephone number, rapid discharge is feasible and results in high patient satisfaction [15] .…”

Use of the American College of Surgeons NSQIP Surgical Risk Calculator for Laparoscopic Colectomy: How Good Is It and How Can We Improve It?

“…It also does not address the risk of readmission at allda factor proven to negatively impact patient and financial outcomes. [36][37][38] As an added incentive for use as a routine part of the case-logging system, one possibility would be to exempt surgeons who consistently outperform anticipated measures to opt out of part IV of maintenance of certification requirements (ie, performance in practice). We recognize the limitations of this study.…”

Process Control to Measure Process Improvement in Colorectal Surgery

“…13 after more than a decade of improvement, the combination of our eRP with laparoscopic colectomy had patients going home a median of 3.7 days after surgery with a 6% readmission rate and 0.3% mortality rate. 13,30 Despite this progress, internal review demonstrated an opportunity to identify outliers by using control charts, a valid tool for surgical quality and cost analysis. 31 in this case-matched study, statistical process control demonstrated that our eRP changes significantly reduced the spread of outliers around our mean los.…”