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• W3143528645 abstract "Objectives We aimed to define perfect care index (PCI) metrics and to evaluate whether implementation of standardized order sets would improve outcomes without increasing hospital-based charges in patients with acute pancreatitis (AP). Methods This is a retrospective, pre-post, observational study measuring clinical quality, processes of care, and hospital-based charges at a single tertiary care center. The first data set included AP patients from August 2011 to December 2014 (n = 219) before the implementation of a standardized order set (Methodist Acute Pancreatitis Protocol [MAPP]) and AP patients after MAPP implementation from January 2015 to September 2018 (n = 417). The second data set included AP patients (n = 150 in each group) from January 2013 to September 2014 (pre-MAPP) and January 2018 to September 2019 (post-MAPP) to evaluate perfect care between the 2 cohorts after controlling for systemic inflammatory response syndrome at baseline. Length of stay, PCI, and hospital-based charges were measured. Results The post-MAPP cohort had a significantly shorter length of stay (median, 3 days vs 4 days; P = 0.01). In the second data set, PCI significantly increased after implementation of MAPP order sets (5.3%–35.3%, P < 0.0001). Conclusions The MAPP order sets increased the value of care by improving clinical outcomes without increasing hospital-based charges." @default.
• W3143528645 created "2021-04-13" @default.
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• W3143528645 date "2021-03-01" @default.
• W3143528645 modified "2023-10-16" @default.
• W3143528645 title "The Value of Managing Acute Pancreatitis With Standardized Order Sets to Achieve “Perfect Care”" @default.
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• W3143528645 doi "https://doi.org/10.1097/mpa.0000000000001758" @default.
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