Emergency Laparotomy Programme (ELP) Wessex Patient Safety Collaborative and Wessex AHSN have recently launched the Emergency Laparotomy Programme (ELP). The aim of the ELP is to build on the successful outcomes of the Emergency Laparotomy Collaborative (ELC which was a collaboration over two years between the three Academic Health Science Networks (AHSNs) of Wessex, West of England and Kent Surrey Sussex aimed at improving the standard of care patients undergoing emergency laparotomy in a bid to reduce mortality rates, complications and length of stay. Following on from the success of the ELC, NHS England have commissioned AHSNs to support their provider trusts to adopt the ELC principles. The Wessex ELP programme will offer to trusts:
It has been shown that patients admitted for emergency surgery are often elderly with a number of comorbidities. This cohort of patients have a mortality rate of approximately 11-15% but have often historically received only basic levels of care consistently offered. Through original work in local hospitals a bundle of care elements have been shown to improve outcomes for patients.
The original bundle of elements shown to improve outcomes for patients undergoing emergency laparotomy included:
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