Authors: Wen Jia Tan, Hong Chan, Han Jie Lee, Jia Xuan Yeo, Bryan Zhi Shen Boey, Jiping Peng, Karine Sim, Vivenn Rou Wei Chua, Hery Yanto, Edwin Jonathan Aslim, Hairil Rizal Bin Abdullah, John Shyi Peng Yuen, Juriyah Bte Yatim
Transurethral Resection of Prostate (TURP) was a procedure identified by SGH to adopt the Value Driven Care (VDC) programme, to monitor outcomes for further improvement. The indicator identified as the main area of improvement is post-operative length of stay (LOS), in which cases would not meet the indicator if post-op LOS exceeded 1 day.
In the existing workflow for patients undergoing TURP, the urinary catheter is usually left in situ until post-op day (POD) 2 to monitor for post-op complications. However, there has been evidence suggesting that early removal of catheter is safe in select group of patients.
The project aimed to increase the proportion of patients undergoing TURP in SGH with post-op length of stay ≤1 day from 26.9% to 40% (median rates) in 1 year.