ArticleBJS open2019
Effectiveness of a quality improvement collaborative in reducing time to surgery for patients requiring emergency cholecystectomy.
Article in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of quality improvement collaboratives in UK surgical settings and barriers and facilitators influencing their implementation: a systematic review and evidence synthesis.BMJ open quality · 2023Pooled it
- Implementing quality improvement in vascular services: a qualitative study.BMJ open quality · 2026Article
- Enhancing Timing and Referral Pathways for Laparoscopic Cholecystectomy: A Two-Cycle Audit.Cureus · 2025Article
- Outcomes after index cholecystectomy: a UK longitudinal multi-centre cohort Study.Langenbeck's archives of surgery · 2025Article
- Article
- Specialist-led urgent cholecystectomy for acute gallstone disease.Surgical endoscopy · 2023Article
- The Impact of Hospital Level of Care on the Management of Acute Cholecystitis: a Population-Based Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- The problem with dichotomizing quality improvement measures.BMC anesthesiology · 2022Article
- Clinical Impact of a Quality Improvement Program Including Dedicated Emergency Radiology Personnel on Emergency Surgical Management: A Propensity Score-Matching Study.Korean journal of radiology · 2022Article
- Article
- Variation in the rates of emergency surgery amongst emergency admissions to hospital for common acute conditions.BJS open · 2021Article
- Evaluating quality in clinical care.Surgery (Oxford, Oxfordshire) · 2020Review
- Understanding the influences on successful quality improvement in emergency general surgery: learning from the RCS Chole-QuIC project.Implementation science : IS · 2019Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Acute gallstone disease is a high-volume emergency general surgery presentation with wide variations in the quality of care provided across the UK. This controlled cohort evaluation assessed whether participation in a quality improvement collaborative approach reduced time to surgery for patients with acute gallstone disease to fewer than 8 days from presentation, in line with national guidance. Methods: Patients admitted to hospital with acute biliary conditions in England and Wales between 1 April 2014 and 31 December 2017 were identified from Hospital Episode Statistics data. Time series of quarterly activity were produced for the Cholecystectomy Quality Improvement Collaborative (Chole-QuIC) and all other acute National Health Service hospitals (control group). A negative binomial regression model was used to compare the proportion of patients having surgery within 8 days in the baseline and intervention periods. Results: Of 13 sites invited to join Chole-QuIC, 12 participated throughout the collaborative, which ran from October 2016 to January 2018. Of 7944 admissions, 1160 patients had a cholecystectomy within 8 days of admission, a significant improvement ( Conclusion: A surgeon-led quality improvement collaborative approach improved care for patients requiring emergency cholecystectomy.
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