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A laparoscopic cholecystectomy quality improvement project was therefore initiated. Through retrospective analysis of the medical notes, hospital episode statistics coding was analysed for accuracy and compared to actual clinical practice. A pathway encompassing current guidelines was disseminated via education, trust induction and a protocol including increased USS provision 4 weekday and 2 weekend patients per day , theatre 1 session per week and senior clinician led coding of discharge and theatre paperwork.
The service was then re-evaluated. Areas for improvement were therefore targeted as referral for surgery, prompt USS including out of hours , increased theatre capacity and more accurate coding for hospital episode statistics. No patients on the elective waiting list had an emergency admission. Our 'Best in Study' award from CholeQuic-ER was confirmed with the hospital episode statistics, which have improved accuracy following senior input into coding.
Conclusion s : Results confirm significant quality improvement for patients presenting with acute biliary pathology.
These interventions could be disseminated to gain better outcomes nationally. Background: Increasing evidence suggests a role for the vermiform appendix in onset and relapse of ulcerative colitis UC.
