title: Effectiveness of best practice implementation in reducing hip arthroplasty length of stay.
abstract: A transfer of a best practice model was performed between a new institution in the United Kingdom and a leading orthopedic hospital in the United States. The quality concepts transferred to the UK were surgical and hospital throughput, hospital facility design, an Interdisciplinary Preoperative Patient Education Program, infection control standards, and a standardized rehabilitation model. The new hospital was officially opened in February 2004, and the average length of stay for total hip arthroplasty between February and December 2004 was 6.1 +/- 3.0 days, a substantial reduction of 5 days on average. The infection rate was reduced from 1% to 0.16%. This study supports the notion that the implementation of a best practice approach significantly reduces length of stay as well as infection rate.
authors.affiliation: Hospital for Special Surgery, New York, NY 10021, USA.
authors.forename: Margaret G E
authors.initials: MG
authors.lastname: Peterson
authors.forename: JeMe
authors.initials: J
authors.lastname: Cioppa-Mosca
authors.forename: Eileen
authors.initials: E
authors.lastname: Finerty
authors.forename: Suzanne
authors.initials: S
authors.lastname: Graziano
authors.forename: Sue
authors.initials: S
authors.lastname: King
authors.forename: Thomas P
authors.initials: TP
authors.lastname: Sculco
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D019985:Benchmarking; D002985:Clinical Protocols; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects; D006749:Hospital Design and Construction; D006782:Hospitals, Special / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D017053:Infection Control; D007902:Length of Stay / Q000706:statistics & numerical data* / Q000639:trends; D008297:Male; D008875:Middle Aged; D016459:Prosthesis-Related Infections / Q000453:epidemiology; D006113:United Kingdom; D014481:United States