CHALLENGES: LACK OF DATA, LACK OF BUY-IN--Texas Children's statistics for appendectomy
care are consistent with nationwide trends.
Macias, Lopez, and Carberry, all of whom had already spent years in clinical process improvement work, headed up the Texas Children's team on appendectomy
processes, began in early 2011 to organize a permanent multidisciplinary care-improvement workgroup for appendicitis, leveraging their organization's enterprise data warehouse, along with associated analytics applications (from the Salt Lake-City based Health Catalyst), to gather and analyze data from the hospital's electronic health record (EHR) and numerous other sources, to evaluate appendectomy
Caption: On average, the use of minimally invasive surgery by the hospitals sampled was 71% for appendectomy
, 28% for colectomy, and 13% for hysterectomy.
The complication rate in all six studies was lower for antibiotic treatment (range 0%-21%) than for appendectomy
The patient, who was otherwise healthy, stated a significant past surgical history of laparoscopic appendectomy
at another institution one month prior to the current presentation.
He suffered an appendectomy
just before the playoffs started that year and was sidelined the rest of the season.
When Chatsworth won the championship in 2001, Cassel had been sidelined the second half of the season because of an appendectomy
The start of his season was delayed after he suffered a knee injury that required arthroscopic surgery and it ended when he had an appendectomy
Niusulu's season was shortened to five games by arthroscopic knee surgery in September and an appendectomy
Niusulu played in five games this season but underwent an appendectomy
last week and is out for the season.
Niusulu underwent surgery for an appendectomy
and is out for the season.
The Coronation, set for June 26, had been postponed because he had an emergency appendectomy