P Perremans, W De Haes, A Billiet, P Giepmans, C Van Eembeek, D Geusens, W Tambeur, C Franz, N Vansteenkiste, F Van Herpe, C Verslype, G Rasschaert
{"title":"A daily scrum at the gastrointestinal oncology ward shortens the length of stay, a tertiary center experience.","authors":"P Perremans, W De Haes, A Billiet, P Giepmans, C Van Eembeek, D Geusens, W Tambeur, C Franz, N Vansteenkiste, F Van Herpe, C Verslype, G Rasschaert","doi":"10.51821/89.3.15207","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and aims: </strong>Multidisciplinary meetings among medical and paramedical staff can limit the length of stay (LOS) of oncology patients during repeated hospitalizations. We applied the scrum methodology to streamline our discharge planning. This framework originated in IT development to address operational challenges and to allow for rapid adaptation. We aimed to assess whether a daily scrum can impact LOS and the readmission rate.</p><p><strong>Methods: </strong>We implemented a daily multidisciplinary meeting, called scrum at the 26 bed- Gastro-intestinal (GI) oncology ward of our tertiary center from October 2022 to July 2023. This daily multidisciplinary debriefing determines the exact medical and paramedical criteria for discharge. We compared outcomes during the intervention to a four-year pre-intervention baseline. We applied a linear model to evaluate whether the scrum reduced the LOS while correcting for case mix.</p><p><strong>Results: </strong>We included a total of 664 GI oncology patients over a 10-month period. The adjusted mean LOS was 4.09 days. After correcting for case mix, LOS decreased significantly during the daily scrum period compared to the four-year pre-scrum baseline (-9.96%, p=0.011). Unplanned readmissions within 30 days from discharge did not increase.</p><p><strong>Conclusion: </strong>Implementing a daily scrum significantly reduced the length of stay at our oncology ward. The scrum framework provides an effective strategy to optimize bed capacity. It minimizes unnecessary hospital days and reduces the risk of suboptimal patient care.</p>","PeriodicalId":7322,"journal":{"name":"Acta gastro-enterologica Belgica","volume":"89 3","pages":"451-455"},"PeriodicalIF":1.2000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Acta gastro-enterologica Belgica","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.51821/89.3.15207","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background and aims: Multidisciplinary meetings among medical and paramedical staff can limit the length of stay (LOS) of oncology patients during repeated hospitalizations. We applied the scrum methodology to streamline our discharge planning. This framework originated in IT development to address operational challenges and to allow for rapid adaptation. We aimed to assess whether a daily scrum can impact LOS and the readmission rate.
Methods: We implemented a daily multidisciplinary meeting, called scrum at the 26 bed- Gastro-intestinal (GI) oncology ward of our tertiary center from October 2022 to July 2023. This daily multidisciplinary debriefing determines the exact medical and paramedical criteria for discharge. We compared outcomes during the intervention to a four-year pre-intervention baseline. We applied a linear model to evaluate whether the scrum reduced the LOS while correcting for case mix.
Results: We included a total of 664 GI oncology patients over a 10-month period. The adjusted mean LOS was 4.09 days. After correcting for case mix, LOS decreased significantly during the daily scrum period compared to the four-year pre-scrum baseline (-9.96%, p=0.011). Unplanned readmissions within 30 days from discharge did not increase.
Conclusion: Implementing a daily scrum significantly reduced the length of stay at our oncology ward. The scrum framework provides an effective strategy to optimize bed capacity. It minimizes unnecessary hospital days and reduces the risk of suboptimal patient care.
期刊介绍：
The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
