The introduction of day case Transurethral Resection of the Prostate at a District General Hospital in the South of England
BAUS ePoster online library. Folkard S. Jun 26, 2018; 217786
Mr. Sam Folkard
Mr. Sam Folkard
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Abstract
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Approximately 25,000 transurethral resections of the prostate (TURP) are completed per year in the UK, with a total cost of £53 million. The British Association of Day Surgery has recommended that 15% of TURPs should be completed as day surgery. We aimed to establish day case TURP in a District General Hospital in the South of England. We analysed our current data as a baseline, and to understand which patients would be suitable for day case TURP. We put in place the necessary clinical, administrative and managerial structures to allow the hospital to run a day case TURP service, and present a framework for doing so. We are currently completing the first Plan, Do, Study, Act Cycle as recommended by NHS Improvement. Our primary outcome measures are: percentage of planned day case conversion to inpatient stay; readmission rate; and patient feedback, to be analysed using qualitative thematic content analysis. Our secondary outcome measures will also analyse: complications related to readmission using the Clavien-Dindo classification; length of stay; financial impact of change in length of stay; percentage trial without catheter success rate; and prostatic resection weight. We aim to complete multiple PDSA cycles to ultimately meet the 15% British Association of Day Surgery target.
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