Factors Affecting Stress Levels in Hospitalized Patients after Implementation of Fast.track Protocol in Hepatopancreatobiliary Surgery

Kapritsou, Maria; Korkolis, Dimitrios; Giannakopoulou, Margarita; Κατσούλας, Θεόδωρος; Bastaki, Maria; Konstantinou, Evangelos

doi:10.4103/apjon.apjon_24_19

Cited by 1 publication

(1 citation statement)

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“…The protocol consists of advanced perioperative medical management for total joint arthroplasty and was introduced to reduce mortality and functional discharge criteria with subsequent reduction in the LOS and high patient satisfaction (Husted, 2012). In recent years, the FTS protocol has been applied in several medical departments: in gastrointestinal surgery (Hu et al, 2019;Liu et al, 2016), in thoracic surgery (Che, 2020), hepatobiliary surgery (Kapritsou et al, 2020), urology (Chen et al, 2020) and other fields with a good clinical effect.…”

Section: Introductionmentioning

confidence: 99%

Implementing fast track surgery in hip and knee arthroplasty using the lean Six Sigma methodology

Latessa

Fiorillo

Picone

et al. 2021

TQM

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PurposeOne of the biggest challenges in the health sector is that of costs compared to economic resources and the quality of services. Hospitals register a progressive increase in expenditure due to the aging of the population. In fact, hip and knee arthroplasty surgery are mainly due to primary osteoarthritis that affects the elderly population. This study was carried out with the aim of analysing the introduction of the fast track surgery protocol, through the lean Six Sigma, on patients undergoing knee and hip prosthetic replacement surgery. The goal was to improve the arthroplasty surgery process by reducing the average length of stay (LOA) and hospital costsDesign/methodology/approachLean Six Sigma was applied to evaluate the arthroplasty surgery process through the DMAIC cycle (define, measure, analyse, improve and control) and the lean tools (value stream map), adopted to analyse the new protocol and improve process performance. The dataset consisted of two samples of patients: 54 patients before the introduction of the protocol and 111 patients after the improvement. Clinical and demographic variables were collected for each patient (gender, age, allergies, diabetes, cardiovascular diseases and American Society of Anaesthesiologists (ASA) score).FindingsThe results showed a 12.70% statistically significant decrease in LOS from an overall average of 8.72 to 7.61 days. Women patients without allergies, with a low ASA score not suffering from diabetes and cardiovascular disease showed a significant a reduction in hospital days with the implementation of the FTS protocol. Only the age variable was not statistically significant.Originality/valueThe introduction of the FTS in the orthopaedic field, analysed through the LSS, demonstrated to reduce LOS and, consequently, costs. For each individual patient, there was an economic saving of € 445.85. Since our study takes into consideration a dataset of 111 patients post-FTS, the overall economic saving brought by this study amounts to €49,489.35.

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