Welsh hospitals are working in collaboration with the 1000 Lives Improvement service at Public Health Wales to improve the care received by patients undergoing emergency laparotomy surgery.
The initiative which involves 13 District General Hospitals is a part of a quality improvement programme called Emergency Laparotomy Cymru, which commenced in July 2018. Its primary focus remains care of the patient from the time of presentation to the hospital, throughout the perioperative duration and during recovery.
A 6-step evidence-based care bundle approach is being utilised to deliver the improvements. A data collection system called National Emergency Laparotomy Audit is expected to provide a better understanding of individual care standards and make data-driven improvements. Three regional clinical leads have been appointed to drive the initiative, who will collaborate with a multi-disciplinary team from each hospital within their region.