Timely Management of Testicular Torsion: A Collaborative QI Approach

Background Testicular torsion is a surgical emergency requiring timely operative care (ideally within 240 minutes) to achieve optimal testicular salvage and functional outcome. At our institution, approximately 14% patients had a delay in operative management (92 patients, January 2014 - November 2016, with a mean of 164 minutes and range of 48-565 minutes). Objective To increase the percentage of patients arriving to the operating room (OR) within 240 minutes from time of emergency department (ED) arrival from 86% to 95% in 18 …