| Titre : | THE IMPACT OF THE IMPLEMENTATION OF QUALITY IMPROVEMENT INITIATIVES ON MORTALITY RATE AFTER POSTOPERATIVE PERITONITIS IN ONCOLOGICAL DIGESTIVE SURGERY | | Type de document : | thèse | | Auteurs : | Houda LAMINE, Auteur | | Année de publication : | 2022 | | Langues : | Anglais (eng) | | Mots-clés : | Quality improvement initiatives Mortality Postoperative peritonitis Digestive oncology surgery Mesures d'amélioration mortalité péritonites post-opératoires chirurgie
oncologique digestive مبادرات تحسین الجودة الوفیات التھاب الصفاق بعد الجراحة جراحة
أورام الجھاز الھضمي. | | Résumé : | Background: Postoperative peritonitis (POP) is a nosocomial form of peritonitis and it
is defined as an infection of the abdominal cavity complicating a surgical intervention. This
study aims to analyze the impact of quality improvement initiatives on mortality rate after
postoperative peritonitis (failure to rescue).
Methods: This study included patients treated between January 2016 and December
2020. The data collected during this period included 977 patients who underwent curative
resection for digestive cancer.
Our intervention consists of the implementation of three quality improvement
initiatives: Early detection protocol for anastomotic leakage, daily morning staff and morbimortality
reviews (MMR). Our study period was divided into two periods (before and after
the intervention). The endpoints were to improve failure to rescue(FTR) through the analysis
of the impact these measures have on mortality rate during the second period.
Results: Our cross-sectional, retrospective study included 977 patients, where 66
patients had postoperative peritonitis. Concerning patients' comorbidities, none were
significant except for smoking, where we find a higher percentage in the first period
compared to the second period (35% vs 3.84%; p<0.05).
Among these 66 POPs, 6.75% of patients were observed during the first period versus
4.87% during the second period (p<0.05). There was a decrease of the mortality rate during
the second period from 30% to 11.54% (p>0.05).
Conclusion: This study has shown that the implementation of quality improvement
initiatives is prone to improving FTR. | | Numéro (Thèse ou Mémoire) : | M0872022 | | Président : | MOHSINE RAOUF | | Directeur : | Mohammed Anas MAJBAR | | Juge : | Ahmed EL HIJRI | | Juge : | Abdel-Ilah GHANNAM | | Juge : | Aziz ZENTA |
THE IMPACT OF THE IMPLEMENTATION OF QUALITY IMPROVEMENT INITIATIVES ON MORTALITY RATE AFTER POSTOPERATIVE PERITONITIS IN ONCOLOGICAL DIGESTIVE SURGERY [thèse] / Houda LAMINE, Auteur . - 2022. Langues : Anglais ( eng) | Mots-clés : | Quality improvement initiatives Mortality Postoperative peritonitis Digestive oncology surgery Mesures d'amélioration mortalité péritonites post-opératoires chirurgie
oncologique digestive مبادرات تحسین الجودة الوفیات التھاب الصفاق بعد الجراحة جراحة
أورام الجھاز الھضمي. | | Résumé : | Background: Postoperative peritonitis (POP) is a nosocomial form of peritonitis and it
is defined as an infection of the abdominal cavity complicating a surgical intervention. This
study aims to analyze the impact of quality improvement initiatives on mortality rate after
postoperative peritonitis (failure to rescue).
Methods: This study included patients treated between January 2016 and December
2020. The data collected during this period included 977 patients who underwent curative
resection for digestive cancer.
Our intervention consists of the implementation of three quality improvement
initiatives: Early detection protocol for anastomotic leakage, daily morning staff and morbimortality
reviews (MMR). Our study period was divided into two periods (before and after
the intervention). The endpoints were to improve failure to rescue(FTR) through the analysis
of the impact these measures have on mortality rate during the second period.
Results: Our cross-sectional, retrospective study included 977 patients, where 66
patients had postoperative peritonitis. Concerning patients' comorbidities, none were
significant except for smoking, where we find a higher percentage in the first period
compared to the second period (35% vs 3.84%; p<0.05).
Among these 66 POPs, 6.75% of patients were observed during the first period versus
4.87% during the second period (p<0.05). There was a decrease of the mortality rate during
the second period from 30% to 11.54% (p>0.05).
Conclusion: This study has shown that the implementation of quality improvement
initiatives is prone to improving FTR. | | Numéro (Thèse ou Mémoire) : | M0872022 | | Président : | MOHSINE RAOUF | | Directeur : | Mohammed Anas MAJBAR | | Juge : | Ahmed EL HIJRI | | Juge : | Abdel-Ilah GHANNAM | | Juge : | Aziz ZENTA |
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