Resource

Eliminating the second group and save prior to laparoscopic cholecystectomies

Rachel McLean
Rachel McLean • 12 June 2022

Project completed as part of the 2021 Green Surgery Challenge

GSC team 3 4

Setting/Patient Group: Trust-wide

Issue to be addressed:

To eliminate the second group and save (G&S) blood test in the preoperative pathway for laparoscopic cholecystectomies (LC).

Intervention:

  1. 1. Stakeholder engagement through staff and patient survey
  2. 2. Safety assessment through patient safety audit and literature review to identify studies reporting transfusion or bleeding rates post-LC

Outcome:

Clinical

  • Evidence supported the hypothesis that eliminating the second G&S is likely to be safe..

Social

  • Reduced inconvenience and travel costs to patients
  • Reduced concerns of low value or over-investigation of patients,
  • Lower clinical pressures on staff

Environmental

  • Estimated savings of up to 2.5 tonnes CO2e/year

Economic

  • Estimated saving >£3000,based on a conservative estimate of 250 cases.

Key learning point

We demonstrated that eliminating the second G&S in the preoperative workup for LC procedures is a safe intervention. The reduction of unnecessary testing adds environmental, financial and social benefits such as increased convenience to patients, and reduced workload for staff.

 

Resource author(s)
Jaunoo S, Khan M and Robinson A
Resource publishing organisation(s) or journal
University Hospitals Sussex NHS Foundation Trust
Resource publication date
April 2021

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