Impact of a care pathway in acute pancreatitis: Table 1

Abstract

BackgroundPrevious studies have shown that accurate process of care predicts quality of care. Few examples currently exist for process of care for the acute surgical patient. A recent region wide audit had identified good outcomes for patients with acute pancreatitis at our institution but aspects of care that could be improved.MethodsFor this re-audit, a simple written care pathway for the management of those presenting with acute pancreatitis was introduced in our institution from February to July 2009. The audit standards were set against the British Society of Gastroenterology (BSG) guidelines for management of acute pancreatitis and were compared with the previous region wide audit.ResultsMarked improvements were noted in the rates of abdominal imaging achieved within 24 h of diagnosis (35.2% vs 47.7%), severity stratification within 48 h of diagnosis (28.7% vs 75%), critical care admission for those classified as severe (39.3% vs 63.6%) and definitive treatment during index admission (22.2% vs 38.5%). Survival rates were 100% for this audit cycle and 95% for all patients within the region wide audit. Despite these improvements, care still does not reach the standards set out by BSG.ConclusionPredefined processes of care may help to recognise those developing or likely to develop severe pancreatitis, ensure accurate documentation of severity, expedite critical care review and/or admission, and help to encourage the timely management of those with a treatable underlying cause of their pancreatitis.

Efficacy of Graded Emergency Nursing on Acute Pancreatitis Patients: A Meta-Analysis

“…AP is a common disease in emergency department, which is dangerous and develops rapidly. If effective treatment measures are not implemented in time, it is easy to progress to multiple organ failure, threatening the life safety of patients (8). As the condition of the disease is complex, the key to emergency treatment is to grasp the best time for diagnosis and treatment.…”