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The improved quality process after implementation of the hemithyroidectomy care map.
Weerachai Tantinikorn1, Kanlaya Jitta2, Supreeya Petrak2
1Ear Nose and Throat Center, Bumrungrad International Hospital, Bangkok, Thailand.
Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
|December 20, 2013
Summary
Implementing a hemithyroidectomy care map significantly improved patient outcomes and reduced hospital stays. This quality improvement initiative minimized complications like vocal cord paralysis and hematoma.
Area of Science:
- Otorhinolaryngology
- Surgical Quality Improvement
- Patient Care Management
Background:
- Hemithyroidectomy patients previously experienced longer hospital stays and variable costs.
- A need existed to standardize and enhance the quality of care for hemithyroidectomy procedures.
Purpose of the Study:
- To implement and evaluate a care map for hemithyroidectomy patients.
- To improve the quality of service care and patient outcomes.
Main Methods:
- Retrospective chart review and descriptive analysis of 279 hemithyroidectomy patients.
- Implementation of a standardized care map between January 2004 and December 2006.
Main Results:
- Hospital stay reduced to under four days for 93% of patients.
- Vocal cord paralysis incidence decreased from 8.7% to 2.4%.
- Estimated expenses closely matched actual costs for 97% of patients.
Conclusions:
- The hemithyroidectomy care map enhanced patient care quality and resource utilization.
- Close supervision, meticulous surgery, and bleeding control are crucial for effective care.
- Potential for further reduction in hospital stay to one to two days exists.
