Day of surgery admission for the elective surgical in-patient: successful implementation of the Elective Surgery Programme.

2.50
Hdl Handle:
http://hdl.handle.net/10147/248091
Title:
Day of surgery admission for the elective surgical in-patient: successful implementation of the Elective Surgery Programme.
Authors:
Concannon, E S; Hogan, A M; Flood, L; Khan, W; Waldron, R; Barry, K
Affiliation:
Department of Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland, lizconcannon@gmail.com.
Citation:
Day of surgery admission for the elective surgical in-patient: successful implementation of the Elective Surgery Programme. 2012: Ir J Med Sci
Publisher:
Springer
Journal:
Irish journal of medical science
Issue Date:
11-Sep-2012
URI:
http://hdl.handle.net/10147/248091
DOI:
10.1007/s11845-012-0850-5
PubMed ID:
22965814
Additional Links:
http://www.springerlink.com
Abstract:
BACKGROUND AND AIMS: The aim of this prospective cross-sectional study was to determine the impact of (1) ring fencing in-patient general surgical beds and (2) introducing a pre-operative assessment clinic (PAC) on the day of surgery admission (DOSA) rate in a single Irish institution. The secondary aim was to analyse the impact of an increased rate of DOSA on cost efficiency and patient satisfaction. METHODS: An 18-month period was examined following ring-fencing of elective and emergency surgical beds. A PAC was established during the study period. Prospectively collected data pertaining to all surgical admissions were retrieved using patient administration system software (Powerterm Pro, Eircom Software) and a database of performance information from Irish Public Health Services (HealthStat). RESULTS: Ring-fencing and PAC establishment was associated with a significant increase in the overall DOSA rate from 56 to 85 %, surpassing the national target rate of DOSA (75 %). Data relating specifically to general surgery admissions mirrored this increase in DOSA rate from a median of 5 patients per month, before the advent of ring-fencing and PAC, to 42 patients per month (p < 0.0387). 100 patient surveys demonstrated high levels of satisfaction with DOSA, with a preference compared to admission one night pre-operatively. Cost analysis demonstrated overall savings of 340,370 Euro from this change in practice. CONCLUSION: The present study supports the practice of DOSA through the introduction of ring-fenced surgical beds and PAC. This has been shown to improve hospital resource utilisation and streamline surgical service provision in these economically challenging times.
Item Type:
Article
Language:
en
ISSN:
1863-4362
Sponsors:
The final publication is available at www.springerlink.com

Full metadata record

DC FieldValue Language
dc.contributor.authorConcannon, E Sen_GB
dc.contributor.authorHogan, A Men_GB
dc.contributor.authorFlood, Len_GB
dc.contributor.authorKhan, Wen_GB
dc.contributor.authorWaldron, Ren_GB
dc.contributor.authorBarry, Ken_GB
dc.date.accessioned2012-10-10T08:21:03Z-
dc.date.available2012-10-10T08:21:03Z-
dc.date.issued2012-09-11-
dc.identifier.citationDay of surgery admission for the elective surgical in-patient: successful implementation of the Elective Surgery Programme. 2012: Ir J Med Scien_GB
dc.identifier.issn1863-4362-
dc.identifier.pmid22965814-
dc.identifier.doi10.1007/s11845-012-0850-5-
dc.identifier.urihttp://hdl.handle.net/10147/248091-
dc.description.abstractBACKGROUND AND AIMS: The aim of this prospective cross-sectional study was to determine the impact of (1) ring fencing in-patient general surgical beds and (2) introducing a pre-operative assessment clinic (PAC) on the day of surgery admission (DOSA) rate in a single Irish institution. The secondary aim was to analyse the impact of an increased rate of DOSA on cost efficiency and patient satisfaction. METHODS: An 18-month period was examined following ring-fencing of elective and emergency surgical beds. A PAC was established during the study period. Prospectively collected data pertaining to all surgical admissions were retrieved using patient administration system software (Powerterm Pro, Eircom Software) and a database of performance information from Irish Public Health Services (HealthStat). RESULTS: Ring-fencing and PAC establishment was associated with a significant increase in the overall DOSA rate from 56 to 85 %, surpassing the national target rate of DOSA (75 %). Data relating specifically to general surgery admissions mirrored this increase in DOSA rate from a median of 5 patients per month, before the advent of ring-fencing and PAC, to 42 patients per month (p < 0.0387). 100 patient surveys demonstrated high levels of satisfaction with DOSA, with a preference compared to admission one night pre-operatively. Cost analysis demonstrated overall savings of 340,370 Euro from this change in practice. CONCLUSION: The present study supports the practice of DOSA through the introduction of ring-fenced surgical beds and PAC. This has been shown to improve hospital resource utilisation and streamline surgical service provision in these economically challenging times.en_GB
dc.description.sponsorshipThe final publication is available at www.springerlink.comen_GB
dc.languageENG-
dc.language.isoenen
dc.publisherSpringeren_GB
dc.relation.urlhttp://www.springerlink.comen_GB
dc.rightsArchived with thanks to Irish journal of medical scienceen_GB
dc.titleDay of surgery admission for the elective surgical in-patient: successful implementation of the Elective Surgery Programme.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Surgery, Mayo General Hospital, Castlebar, County Mayo, Ireland, lizconcannon@gmail.com.en_GB
dc.identifier.journalIrish journal of medical scienceen_GB
dc.description.provinceConnachten

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