Utilisation of clinical networks to facilitate elective surgical workload; a preliminary analysis

Hdl Handle:
http://hdl.handle.net/10147/597140
Title:
Utilisation of clinical networks to facilitate elective surgical workload; a preliminary analysis
Authors:
Burke, T; Waters, P; Waldron, RM; Joyce, K; Khan, I; Khan, W; Kerin, M; Barry, K
Affiliation:
Mayo General Hospital and Galway University Hospital
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Dec-2015
URI:
http://hdl.handle.net/10147/597140
Abstract:
Clinical networks have potential to increase elective surgical workload for benign conditions in non-cancer centres. The aims of this study were to determine outcomes for elective laparoscopic cholecystectomy in our unit and to evaluate early experience in managing benign surgical workload referred from the tertiary centre within our clinical network. An analysis of cholecystectomies performed at Mayo General Hospital was conducted (2003-2013). A review of elective procedures more recently referred from Galway University Hospital (GUH) waiting lists was also conducted. 1937 consecutive cholecystectomies were performed with an overall laparoscopic conversion rate of 1.7% (33/1875). The total major complication rate was 0.93% (18/1937). 151 selected procedures originating from GUH have been performed since December 2013 without adverse events. Laparoscopic cholecystectomy can be performed in significant volume in the general hospital environment. This and other appropriate benign surgical procedures may be performed outside of tertiary units according to network agreements.
Item Type:
Article
Language:
en
Keywords:
SURGERY; WORKFORCE PLANNING
Local subject classification:
ELECTIVE SURGERY

Full metadata record

DC FieldValue Language
dc.contributor.authorBurke, Ten
dc.contributor.authorWaters, Pen
dc.contributor.authorWaldron, RMen
dc.contributor.authorJoyce, Ken
dc.contributor.authorKhan, Ien
dc.contributor.authorKhan, Wen
dc.contributor.authorKerin, Men
dc.contributor.authorBarry, Ken
dc.date.accessioned2016-02-24T14:52:11Zen
dc.date.available2016-02-24T14:52:11Zen
dc.date.issued2015-12en
dc.identifier.urihttp://hdl.handle.net/10147/597140en
dc.description.abstractClinical networks have potential to increase elective surgical workload for benign conditions in non-cancer centres. The aims of this study were to determine outcomes for elective laparoscopic cholecystectomy in our unit and to evaluate early experience in managing benign surgical workload referred from the tertiary centre within our clinical network. An analysis of cholecystectomies performed at Mayo General Hospital was conducted (2003-2013). A review of elective procedures more recently referred from Galway University Hospital (GUH) waiting lists was also conducted. 1937 consecutive cholecystectomies were performed with an overall laparoscopic conversion rate of 1.7% (33/1875). The total major complication rate was 0.93% (18/1937). 151 selected procedures originating from GUH have been performed since December 2013 without adverse events. Laparoscopic cholecystectomy can be performed in significant volume in the general hospital environment. This and other appropriate benign surgical procedures may be performed outside of tertiary units according to network agreements.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectSURGERYen
dc.subjectWORKFORCE PLANNINGen
dc.subject.otherELECTIVE SURGERYen
dc.titleUtilisation of clinical networks to facilitate elective surgical workload; a preliminary analysisen
dc.typeArticleen
dc.contributor.departmentMayo General Hospital and Galway University Hospitalen
dc.identifier.journalIrish Medical Journalen
dc.description.fundingNo fundingen
dc.description.provinceConnachten
dc.description.peer-reviewpeer-reviewen
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