Length of stay following elective surgery can we improve efficiency?

Hdl Handle:
http://hdl.handle.net/10147/294599
Title:
Length of stay following elective surgery can we improve efficiency?
Authors:
Solon, JG; Coffey, JC; McNamara, DA
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Jun-2013
URI:
http://hdl.handle.net/10147/294599
Additional Links:
http://www.imj.ie/
Abstract:
Increasing emergency admissions place significant demands on limited hospital resources. We assessed national practices and resources for initiatives to reduce length of stay (LOS) and thereby improve efficiency of resource utilisation. Consultant members of the Irish Association of Coloproctology received a questionnaire seeking information about available initiatives aimed at reducing LOS. 20 out of 32 (62.5%) consultants responded to the questionnaire. Pre-assessment clinics for day surgery were available to 18(90%). Only 13 (65%) had access to pre-assessment clinics for patients requiring longer admissions. 11 (55%) could admit major cases on the day of surgery. Only 9 (45%) surgeons could guarantee immediate re-admission of patients discharged from hospital if needed. There was a divergence of opinion regarding the acceptable average LOS and percentage suitable for day surgery for a variety of common surgical procedures. This study highlights a number of key areas in which certain well-established initiatives could improve efficiency.
Item Type:
Article
Language:
en
Keywords:
ELECTIVE SURGERY; EMERGENCY MEDICAL CARE; LENGTH OF STAY; HOSPITALS

Full metadata record

DC FieldValue Language
dc.contributor.authorSolon, JGen_GB
dc.contributor.authorCoffey, JCen_GB
dc.contributor.authorMcNamara, DAen_GB
dc.date.accessioned2013-06-26T09:02:16Z-
dc.date.available2013-06-26T09:02:16Z-
dc.date.issued2013-06-
dc.identifier.urihttp://hdl.handle.net/10147/294599-
dc.description.abstractIncreasing emergency admissions place significant demands on limited hospital resources. We assessed national practices and resources for initiatives to reduce length of stay (LOS) and thereby improve efficiency of resource utilisation. Consultant members of the Irish Association of Coloproctology received a questionnaire seeking information about available initiatives aimed at reducing LOS. 20 out of 32 (62.5%) consultants responded to the questionnaire. Pre-assessment clinics for day surgery were available to 18(90%). Only 13 (65%) had access to pre-assessment clinics for patients requiring longer admissions. 11 (55%) could admit major cases on the day of surgery. Only 9 (45%) surgeons could guarantee immediate re-admission of patients discharged from hospital if needed. There was a divergence of opinion regarding the acceptable average LOS and percentage suitable for day surgery for a variety of common surgical procedures. This study highlights a number of key areas in which certain well-established initiatives could improve efficiency.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journalen_GB
dc.relation.urlhttp://www.imj.ie/en_GB
dc.subjectELECTIVE SURGERYen_GB
dc.subjectEMERGENCY MEDICAL CAREen_GB
dc.subjectLENGTH OF STAYen_GB
dc.subjectHOSPITALSen_GB
dc.titleLength of stay following elective surgery can we improve efficiency?en_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen_GB
dc.description.provinceLeinsteren
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