scholarly journals Consent and operating list efficiency

Anaesthesia ◽  
2018 ◽  
Vol 73 (4) ◽  
pp. 522-523
Author(s):  
D. Leslie ◽  
V. Salota
Keyword(s):  
Operating List

scholarly journals SP2.2.18UK Surgical Training in the Independent Sector During COVID-19 – A Snapshot Survey

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Valdone Kolaityte ◽  
Charlotte El-Sayed ◽  
Josh Burke
Keyword(s):  
Surgical Training ◽  
Online Survey ◽  
Elective Surgery ◽  
Final Analysis ◽  
Training Programme ◽  
Barriers To Access ◽  
Resource Requirements ◽  
Operating List ◽  
Independent Sector ◽  
Training Opportunities

Abstract Aims In response to the COVID-19 pandemic and the cancellation of elective surgery, the Independent sector (IS) has been utilised to provide COVID-light sites. On average operative log book numbers have been reduced by 50% due to a reduction in operative exposure. The Four Educational Bodies continue to support training within the independent sector. This study aimed to qualitatively assess access and barriers to UK surgical training in the Independent Sector. Methods A snap-shot online survey was distributed to ASIT members of all training specialities and grades between 21/10/2020-11/11/2020 . Data measures included participant demographics, frequency of access, participation in training opportunities including outpatient clinic, theatre lists and endoscopy and any barriers encountered. A mixture of Likert scale and short answer questions were utilised. Results 249 complete responses representing all grades and specialities were included in the final analysis (34.29% CST and 56.3% HST). 35.7% of trainees reported access to the IS. 22.9% had access to at least one operating list whilst 70.3% had none. Access to outpatient clinics and endoscopy was negligible. 75% of trainees ‘strongly agreed’ that when access was achievable, it was beneficial to their training. Multiple barriers were identified including Human Resource requirements and local service provision. Conclusions Within the sample, access to the IS has been poor. There is wide variation in barriers to access across the 4 nations and IS providers. Trainees and Trainers should maximise training opportunities in the IS. Where barriers exist, they should be reported to local Training Programme Directors.

scholarly journals Changing operating lists on the day of surgery: a service evaluation

2018 ◽  
Vol 28 (9) ◽  
pp. 238-242
Author(s):  
T Walmsley ◽  
G Schmitgen ◽  
S Carr ◽  
P Mortimer ◽  
J Garside ◽  
...  
Keyword(s):  
Patient Safety ◽  
Patient Satisfaction ◽  
Survey Data ◽  
Service Evaluation ◽  
Operating List ◽  
Potential Impact ◽  
Significant Change

This study aims to explore how often the operating list is changed on the day of surgery and the reasons why this may occur. The purpose was to analyse the wider potential impact that changing the list on the day of surgery may have on patient safety, patient satisfaction and theatre efficiency. Survey data was collected across a multi-specialty elective operating department. The findings demonstrated that a significant change in operating lists occurred in 37.3% of sessions, for a variety of potentially avoidable reasons. We concluded that improved organisation and communication before the planned session could reduce the occurrence of changes, thereby increasing patient safety, theatre efficiency and potentially reducing incidents.

Organisational Skills and Tools

2009 ◽  
Vol 19 (4) ◽  
pp. 136-141
Author(s):  
Paul Wicker
Keyword(s):  
Operating List

While this article mainly applies to practitioners who have responsibilities for leading teams or supervising practitioners, many of the skills and tools described here may also apply to students or junior practitioners. The purpose of this article is to highlight some of the main points about organisation, some of the organisational skills and tools that are available, and some examples of how these skills and tools can be used to make practitioners more effective at organising their workload. It is important to realise that organising work and doing work are two completely different things and shouldn't be mixed up. For example, it would be very difficult to start organising work in the middle of a busy operating list: the organisation of the work must come before the work starts and therefore preparation is often an important first step in organising work. As such, some of the tools and skills described in this article may need to be used hours or even days prior to the actual work taking place.

scholarly journals Improving day surgery rates of anterior cruciate ligament reconstruction surgery in surgical units not dedicated to performing day surgery

2020 ◽  
Author(s):  
James Lucocq ◽  
Mostafa Khalil ◽  
Louise Roberts ◽  
Stephen Dalgleish ◽  
Arpit Jariwala
Keyword(s):  
Anterior Cruciate Ligament ◽  
Anterior Cruciate Ligament Reconstruction ◽  
Ligament Reconstruction ◽  
Cruciate Ligament ◽  
Day Surgery ◽  
Cruciate Ligament Reconstruction ◽  
Same Day Discharge ◽  
Operating List ◽  
Anterior Cruciate ◽  
Surgery Rates

Background and Aims Current guidance advises that at least 90% of anterior cruciate ligament reconstructions are performed as day case operations. Same-day surgery rates achieved by surgical units have significant clinical and financial implications. The primary aim of this multi-centre study was to determine the rate of admission and causes for admissions in patients undergoing anterior cruciate ligament reconstruction. Method Patient documentations were studied for those who underwent an elective anterior cruciate ligament reconstruction between January 2015 and April 2019. Contributing factors related to admission length were investigated and included patient age, gender, body mass index (BMI), operating surgeon, operating hospital, American Society of Anaesthesiology (ASA) grade, and position of the patient on the operating list. Both univariate and multivariate analysis was conducted using the STATA/IC 16.1 statistical package. Results The day surgery rate of anterior cruciate ligament reconstructions were 52% (50/95). Patients positioned later on the operating list were more likely to be admitted post-operatively (OR – 4.49; p=0.002; 95% CI – 1.72-11.69) and this was the only factor associated with admission. A large majority of admitted patients (95.6%) were admitted without a clinical cause and were otherwise safe for same-day discharge. Conclusions The day surgery rate for ACL reconstruction remains low, despite an extremely low complication rate. Reconfiguration of the operating lists and positioning anterior cruciate ligament reconstructions earlier in the day will likely increase the same-day discharge rate.

How often does the operating list follow the planned order? An analysis of elective maxillofacial operating lists

The Surgeon ◽  
2015 ◽  
Vol 13 (6) ◽  
pp. 312-315 ◽  
Author(s):  
Shofiq Islam ◽  
Christopher J. Taylor ◽  
Siddiq Ahmed ◽  
Ian W. Ormiston ◽  
Jonathan P. Hayter
Keyword(s):  
Operating List

scholarly journals EP.FRI.472Building the ‘LIEGS’ way – Establishing an ambulatory Rapid Access Theatre Service for those patients with acute surgical pathology requiring operative management

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Nasira Amtul ◽  
Aman Ahmad ◽  
Lindsay Mutyavaviri ◽  
Adam Peckham-Cooper ◽  
Giles Toogood ◽  
...  
Keyword(s):  
Wait Time ◽  
Database Systems ◽  
Operative Management ◽  
Day Case ◽  
Rapid Access ◽  
Early Results ◽  
Patient Database ◽  
Biliary Pathology ◽  
Operating List ◽  
The Uk

Abstract Aim LTHT is the largest acute surgical unit in the UK and has seen an annual 11% increase in attendances with often 90 patients assessed daily. 40% patients present with acute biliary pathology but despite this there has been no dedicated operating list for this cohort of patients. Rapid Access Theatre (RAT) lists were created to manage these patients. We report our early results. Method In October 2020 the trust appointed four EGS Consultants forming a dedicated acute general surgical service. Emphasis was placed on creating ambulatory pathways and those patients safe to be managed at home but requiring surgical intervention are placed on a day case RAT list. COVID-19 has restricted the broad use of this service for all emergency admissions but biliary pathology continues to be amenable to these pathways. Data was collected retrospectively using in-house coding and electronic patient database systems.   Results 34 day case laparoscopic cholecystectomies were performed in the first 10 weeks. Mean age was 44(17-67) with a male:female ratio of 1:1. Mean wait time from clinical review to theatre was 11(3-23) days. 1 patient required overnight admission but there were no readmissions and no reported complications at 30 days.   Conclusion Despite isolation restrictions resulting from COVID-19, the service has allowed patients to be assessed and treated in a timely, safe fashion. The new service has resulted in significant reductions in bed stays and improved patient experiences. Financial savings have been clearly delineated and as such expansion of the model is underway.

scholarly journals The concept of surgical operating list ‘efficiency’: a formula to describe the term

Anaesthesia ◽  
2007 ◽  
Vol 62 (9) ◽  
pp. 895-903 ◽  
Author(s):  
J. J. Pandit ◽  
S. Westbury ◽  
M. Pandit
Keyword(s):  
Operating List
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