Abstract:
:National Confidential Enquiry into Patient Outcome and Death guidelines for urgent surgery recommend a fully staffed emergency operating theatre and restriction of 'after-midnight' operating to immediate life-, limb- or organ-threatening conditions. Audit performed in our institution demonstrated significant decreases in waiting times for urgent surgery and an increased seniority of medical care associated with overnight pre-operative assessment of patients by anaesthetic trainees. Nevertheless, urgent cases continued to be delayed unnecessarily. A classification of delays was developed from existing guidelines and their incidence was audited. The results were disseminated to involved directorates. A repeat of the audit demonstrated a significant decrease in delays (p = 0.001), a significant increase in the availability of surgeons (p = 0.001) and a significant decrease in the median waiting time for urgent surgery compared to the first audit cycle and a previous standard (p < 0.01). We conclude that auditing delays and disseminating the results of the audit significantly decreases delays and median waiting times for urgent surgery because of improved surgical availability.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Cosgrove JF,Gaughan M,Snowden CP,Lees Tdoi
10.1111/j.1365-2044.2008.05441.xsubject
Has Abstractpub_date
2008-06-01 00:00:00pages
599-603issue
6eissn
0003-2409issn
1365-2044pii
ANA5441journal_volume
63pub_type
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