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Acute care model improves surgical care quality, lowers costs for 2 procedures
Date:11/7/2012

s into one seamless team of surgeons who work 12-hour shifts, eliminating 24-hour on-call and other clinical duties, that allow the surgeons to be immediately available.

In the appendectomy patient groups, the time to surgical evaluation was 6.6 hours in the traditional model, while the acute care model reduced that time by two hours. The time to the operating room was 16 hours in the traditional model, while the acute care model reduced that time to 11 hours. The length of hospital stay was shaved from 2.8 days to 1.8 days with the acute care model, a reduced length-of-stay of about one day.

As the authors state: "These reductions in time translated into fewer patients with complications and substantial savings for each case and overall better outcomes in the acute care surgery group."

In the cholecystectomy patient groups, the acute surgical care team significantly reduced the time to surgical evaluation by 5.84 hours and significantly reduced the time to the operating room by 25.37 hours, according to the researchers who also found fewer patients developed complications and length of hospital stay was two days less than with the traditional team.

The acute care surgery model means the trauma surgeon will cover both general surgical emergencies and trauma operations, thus reducing the team to two surgeons, one on call and one as back-up, who are more effectively rescheduled instead of three surgeons.

"Reducing the cost of care while improving the outcome of patient care means that there is hope and room for improvement in the delivery of health care, especially surgical care," Dr. Gomez said. "Our findings should encourage other institutions to implement an acute care surgery model," he said.


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Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
American College of Surgeons
Source:Eurekalert

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