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Same-Day Discharge After Robotic Hysterectomy: A Resource Utilization and Quality Improvement Project
Lindsey A McAlarnen1, Jenna E Maurer1, Amy Knaub2
1Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
WMJ : Official Publication of the State Medical Society of Wisconsin
|October 27, 2022
Summary
A low-cost education initiative significantly increased same-day discharge rates after hysterectomy for malignancy. This approach enhanced patient care efficiency and conserved valuable hospital resources.
Area of Science:
- Gynecologic Oncology
- Surgical Outcomes Research
- Healthcare Management
Background:
- Hysterectomy for malignancy often requires prolonged hospitalization.
- Optimizing patient discharge pathways is crucial for resource management.
- Same-day discharge after hysterectomy presents an opportunity for improved efficiency.
Purpose of the Study:
- To assess the feasibility and impact of a low-cost education initiative.
- To improve same-day discharge rates following hysterectomy for malignancy.
- To evaluate the effect on resource utilization.
Main Methods:
- Implemented a faculty, patient, and staff education program focused on same-day discharge.
- Targeted patients undergoing robotic hysterectomy and staging by gynecologic oncologists.
- Conducted a chart review of 103 patients pre-intervention and 112 post-intervention.
Main Results:
- Same-day discharge rate increased from 5% to 32%.
- Approximately 682 inpatient care hours were saved per 31 patients.
- Demonstrated a significant improvement in discharge efficiency.
Conclusions:
- A simple educational intervention can safely increase same-day discharges after hysterectomy.
- This strategy offers substantial savings in patient care resources.
- Highlights the potential of process improvement in gynecologic oncology.
