The Singapore General Hospital (SGH) Burns Centre is the only
specialised healthcare facility that manages major burn injuries in Southeast
Asia. Depending on the severity of the burn injury, the recovery process can be
lengthy for some patients due to complications such as infections and kidney
failure.
A team was formed to look at developing a standard care
protocol based on best practices for the management of burns patients. Three
years of hard work culminated in a comprehensive 67-page burns management
protocol.
The new protocol included an improved fluid resuscitation
regimen, better infection control measures, and the introduction of micro
grafting as a treatment technique. The team also reviewed and improved
workflows.
For example, burns patients are now engaged in early
ambulation to help them regain their functional ability more quickly. The
team’s hard work has paid off. Since 2014, more than 400 patients have
benefitted from the new care protocol, which reduced their length of stay from
16.8 to 12.6 days, and mortality rate from 2.7 per cent to 0.5 per cent.
SGH Burn Management Team
Singapore General Hospital
Winner of the Best
Team - Clinical Practice Improvement Award, Singapore Health Quality Service
Awards 2018
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