Evidence map›Paper›PMID 36914226›Full record

ArticleBMJ open quality2023

Reducing length of stay in patients following liver transplantation using the model for continuous improvement.

Yashasavi Sachar, Abdulrhman Alamr, Alan Gob, Ephraim Tang, Anouar Teriaky, Karim Qumosani, Corinne Weernink, Melanie Dodds, Kelly Thomas, Lynne Sinclair and 2 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Yashasavi SacharDepartment of Medicine, Division of Gastroenterology, Western University, London, Ontario, Canada ysachar2023@meds.uwo.ca.ORCID 0000-0003-4900-4101
Abdulrhman AlamrDepartment of Medicine, Division of Gastroenterology, Western University, London, Ontario, Canada.
Alan GobCenter for Quality, Innovation and Safety, Western University, London, Ontario, Canada.
Ephraim TangDepartment of General Surgery, Western University, London, Southeastern Ontario, Canada.
Anouar TeriakyDepartment of Medicine, Division of Gastroenterology, Western University, London, Ontario, Canada.
Karim QumosaniDepartment of Medicine, Division of Gastroenterology, Western University, London, Ontario, Canada.
Corinne WeerninkDepartment of General Surgery, Western University, London, Southeastern Ontario, Canada.
Melanie DoddsDepartment of General Surgery, Western University, London, Southeastern Ontario, Canada.
Kelly ThomasDepartment of General Surgery, Western University, London, Southeastern Ontario, Canada.
Lynne SinclairDepartment of General Surgery, Western University, London, Southeastern Ontario, Canada.
Anton SkaroDepartment of General Surgery, Western University, London, Southeastern Ontario, Canada.
Mayur BrahmaniaDepartment of Medicine, Division of Gastroenterology, Western University, London, Ontario, Canada.
Western University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Length of stay (LOS) is a significant contributor to overall patient outcomes for patients undergoing liver transplantation. This study documents a quality improvement project aiming to reduce the median post-transplant LOS for liver transplant patients. We instituted five Plan-Do-Study-Act cycles with the goal of reducing LOS by 3 days from a baseline median of 18.4 days over 1 year. Balancing measures such as readmission rates ensured any decrease in stay was not associated with significantly increased patient complications. Over the 28-month intervention period and 24-month follow-up period, there were 193 patients discharged from hospital with a median LOS of 9 days. The changes appreciated during quality improvement interventions carried over to sustained improvements, with no significant variability in LOS postintervention. Discharge within 10 days increased from 18.4% to 60% over the study period, with intensive care unit stay decreasing from a median of 3.4-1.9 days. Thus, the development of a multidisciplinary care pathway, with patient engagement, led to improved and sustained discharge rates with no significant differences in readmission rates.

Indexed as

Liver TransplantationHospitalsHumansLength of StayPatient DischargePatient ReadmissionHealthcare quality improvementQuality improvementStatistical process controlSurgery

Identifiers

PMID36914226
PMCPMC10016245
OpenAlexW4324101857

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.