{"id":"https://openalex.org/W4402004261","doi":"https://doi.org/10.1093/bjs/znae163.535","title":"83 Quality Improvement Project on the Adherence to Hot Gallbladder Pathway Clinical Guidelines: An Improvement of the Hot Gallbladder Referral Pathway","display_name":"83 Quality Improvement Project on the Adherence to Hot Gallbladder Pathway Clinical Guidelines: An Improvement of the Hot Gallbladder Referral Pathway","publication_year":2024,"publication_date":"2024-07-01","ids":{"openalex":"https://openalex.org/W4402004261","doi":"https://doi.org/10.1093/bjs/znae163.535"},"language":"en","primary_location":{"id":"doi:10.1093/bjs/znae163.535","doi":"https://doi.org/10.1093/bjs/znae163.535","is_oa":true,"landing_page_url":"https://doi.org/10.1093/bjs/znae163.535","pdf_url":"https://academic.oup.com/bjs/article-pdf/111/Supplement_6/znae163.535/58956985/znae163.535.pdf","source":{"id":"https://openalex.org/S61740008","display_name":"British journal of surgery","issn_l":"0007-1323","issn":["0007-1323","1365-2168"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"bronze","oa_url":"https://academic.oup.com/bjs/article-pdf/111/Supplement_6/znae163.535/58956985/znae163.535.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"H Malkawi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150517883","display_name":"Maidstone and Tunbridge Wells NHS Trust","ror":"https://ror.org/02yq33n72","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883"]},{"id":"https://openalex.org/I4210138339","display_name":"Tunbridge Wells Hospital","ror":"https://ror.org/03v330a52","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"H Malkawi","raw_affiliation_strings":["Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom","institution_ids":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081545552","display_name":"E. Bonor","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150517883","display_name":"Maidstone and Tunbridge Wells NHS Trust","ror":"https://ror.org/02yq33n72","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883"]},{"id":"https://openalex.org/I4210138339","display_name":"Tunbridge Wells Hospital","ror":"https://ror.org/03v330a52","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"E Bonor","raw_affiliation_strings":["Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom","institution_ids":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110520610","display_name":"Adham Khalil","orcid":"https://orcid.org/0000-0001-6119-7765","observed_orcids":["https://orcid.org/0000-0001-6119-7765"]},"institutions":[{"id":"https://openalex.org/I150517883","display_name":"Maidstone and Tunbridge Wells NHS Trust","ror":"https://ror.org/02yq33n72","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883"]},{"id":"https://openalex.org/I4210138339","display_name":"Tunbridge Wells Hospital","ror":"https://ror.org/03v330a52","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"A Khalil","raw_affiliation_strings":["Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom","institution_ids":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}]},{"author_position":"last","author":{"id":null,"display_name":"W Lynn","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I150517883","display_name":"Maidstone and Tunbridge Wells NHS Trust","ror":"https://ror.org/02yq33n72","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883"]},{"id":"https://openalex.org/I4210138339","display_name":"Tunbridge Wells Hospital","ror":"https://ror.org/03v330a52","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"W Lynn","raw_affiliation_strings":["Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Maidstone and Tunbridge Wells NHS Trust , Tunbridge Wells , United Kingdom","institution_ids":["https://openalex.org/I150517883","https://openalex.org/I4210138339"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3987,"currency":"GBP","value_usd":5096},"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"111","issue":"Supplement_6","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.44040000438690186,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12664","display_name":"Clinical practice guidelines implementation","score":0.44040000438690186,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12871","display_name":"Healthcare Quality and Management","score":0.22439999878406525,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.2184000015258789,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/guideline-adherence","display_name":"guideline adherence","score":0.5860000252723694},{"id":"https://openalex.org/keywords/referral-pathways","display_name":"referral pathways","score":0.6200000047683716},{"id":"https://openalex.org/keywords/emergency-laparoscopic-cholecystectomy","display_name":"emergency laparoscopic cholecystectomy","score":0.9369999766349792},{"id":"https://openalex.org/keywords/proforma","display_name":"proforma","score":0.597000002861023},{"id":"https://openalex.org/keywords/educational-posters","display_name":"educational posters","score":0.7770000100135803},{"id":"https://openalex.org/keywords/inappropriate-referrals","display_name":"inappropriate referrals","score":0.6629999876022339},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8009999990463257},{"id":"https://openalex.org/keywords/quality-improvement","display_name":"quality improvement","score":0.4480000138282776}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9756513833999634},{"id":"https://openalex.org/C2777148285","wikidata":"https://www.wikidata.org/wiki/Q64386","display_name":"Gallbladder","level":2,"score":0.7496728897094727},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6836177110671997},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.5654613971710205},{"id":"https://openalex.org/C2776493420","wikidata":"https://www.wikidata.org/wiki/Q5518905","display_name":"Gallbladder disease","level":3,"score":0.48347169160842896},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.4442596137523651},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3695352375507355},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3537527918815613},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.24333518743515015},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.05276232957839966},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1093/bjs/znae163.535","doi":"https://doi.org/10.1093/bjs/znae163.535","is_oa":true,"landing_page_url":"https://doi.org/10.1093/bjs/znae163.535","pdf_url":"https://academic.oup.com/bjs/article-pdf/111/Supplement_6/znae163.535/58956985/znae163.535.pdf","source":{"id":"https://openalex.org/S61740008","display_name":"British journal of surgery","issn_l":"0007-1323","issn":["0007-1323","1365-2168"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Surgery","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1093/bjs/znae163.535","doi":"https://doi.org/10.1093/bjs/znae163.535","is_oa":true,"landing_page_url":"https://doi.org/10.1093/bjs/znae163.535","pdf_url":"https://academic.oup.com/bjs/article-pdf/111/Supplement_6/znae163.535/58956985/znae163.535.pdf","source":{"id":"https://openalex.org/S61740008","display_name":"British journal of surgery","issn_l":"0007-1323","issn":["0007-1323","1365-2168"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"British Journal of Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4402004261.pdf","grobid_xml":"https://content.openalex.org/works/W4402004261.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4404282295","https://openalex.org/W2886993180","https://openalex.org/W4313033717","https://openalex.org/W4402372561","https://openalex.org/W3209004921","https://openalex.org/W3205579585","https://openalex.org/W4388793074","https://openalex.org/W2113916258","https://openalex.org/W4214600456","https://openalex.org/W7117462535"],"abstract_inverted_index":{"Abstract":[0],"Aim":[1],"The":[2,75,163],"quality":[3,173],"improvement":[4],"project\u2019s":[5],"main":[6],"aim":[7],"is":[8],"to":[9,66,96,105],"improve":[10,97],"utilization":[11,98,191],"of":[12,24,58,72,99,127,165,174,180,183,192],"the":[13,17,29,50,67,73,92,100,125,166,172,178,181,184,196],"Hot-Gallbladder(HGB)":[14],"list.":[15],"Although":[16],"guidelines":[18],"are":[19],"clear,":[20],"a":[21,37],"large":[22],"number":[23],"referrals":[25,59,175],"did":[26],"not":[27],"meet":[28],"criteria":[30],"and":[31,40,48,52,62,64,103,176,201],"were":[32],"deemed":[33],"inappropriate.":[34],"We":[35],"designed":[36,109],"self-explanatory":[38,110,168],"proforma":[39,169],"added":[41],"educational":[42],"posters/aids":[43],"that":[44],"helped":[45],"increase":[46],"orientation":[47],"clarified":[49],"process":[51],"criteria.":[53],"Method":[54],"A":[55,107,118],"set":[56],"period":[57],"was":[60,112,122],"examined":[61],"audited":[63],"compared":[65],"data":[68],"collected":[69],"post":[70],"introduction":[71,164],"proforma.":[74],"first":[76],"audit":[77,120],"cycle":[78,121],"looked":[79],"at":[80],"patients":[81],"referred":[82],"for":[83,94],"emergency":[84],"laparoscopic":[85],"cholecystectomy":[86],"during":[87,124],"April-May":[88,134,154],"2023":[89,129],"which":[90],"determined":[91],"need":[93],"interventions":[95],"HGB":[101,193],"list":[102],"adherence":[104],"guidelines.":[106],"well":[108],"pro-forma":[111],"introduced":[113],"along":[114],"with":[115],"informative":[116],"posters.":[117],"second":[119],"done":[123],"months":[126],"June-July":[128,142,158],"showing":[130],"significant":[131],"improvement.":[132],"Results":[133],"2023:":[135,143,155,159],"38":[136],"referrals,":[137,145],"4/34":[138],"accepted":[139,147],"(10.5%":[140],"successful).":[141,149],"24":[144],"7/24":[146],"(29.2%":[148],"Average":[150],"stay":[151],"in":[152,188],"hospital:":[153],"6.45":[156],"days,":[157],"3.88":[160],"days.":[161],"Conclusions":[162],"well-designed":[167],"has":[170,187],"improved":[171,190,202],"raised":[177],"awareness":[179],"presence":[182],"pathway.":[185],"This":[186],"turn":[189],"lists,":[194],"decreased":[195],"load":[197],"on":[198],"elective":[199],"lists":[200],"outcomes.":[203]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2024-08-30T00:00:00"}