The Use of Day Beds in Gynaecology

Craig, G. A.

doi:10.1136/bmj.2.5712.786

Cited by 11 publications

(4 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The efficacy of the practice of am1ulatory surgery is becoming Increasingly recognized. In recent years, a number of ambulatory surgical services have arisen in medical settjngs with favorable [14][15][16][17] results and hints of major cost savings. The economic nature of the ambulatory practice in this prepaid group is further heightened br the fact that the operations were performed in a regular hospital operating room.…”

Section: Discussionmentioning

confidence: 99%

Utilization of Surgical Manpower in a Prepaid Group Practice

Hughes¹,

Lewit²,

Watkins³

et al. 1974

N Engl J Med

View full text Add to dashboard Cite

The median operative workload of seven general surgeons comprising the general surgical staff of a prepaid group practice of 158,000 enrollees was 9.9 hernia equivalents [HE] per week. The value was over three times that of a previously studied population of 19 general surgeons in fee-for-service community practice, and approximated a consensus standard of a full surgical workload. The median complexity of o7erations was 1.00 HE. similar to the community practice, and evidence suggested the most complex operations were handled by the surgeons with the most training. 3.6i.' of operations were performed on an ambulatory basis. The results suggest that the prepaid group practice under study possesses administrative mechanisms to efficiently utilize both general surgeons and the resources devoted to general surgery.

show abstract

Section: Discussionmentioning

confidence: 99%

Utilization of Surgical Manpower in a Prepaid Group Practice

Hughes¹,

Lewit²,

Watkins³

et al. 1974

N Engl J Med

View full text Add to dashboard Cite

show abstract

“…There have been no randomized controlled clinical trials of day care versus in-patient care in gynaecology but the safety and acceptability of day care for minor vaginal procedures, such as curettage, have been repeatedly demonstrated over the last 30 years (Beard et a/. 1973;Craig 1970;Gregg 1981;Kerr-Wilson et a/. 1981: Vermeeren et al 1957.…”

Section: O M M E N T a R Ymentioning

confidence: 99%

“…Nevertheless, of the 140000 women who had a uterine curettage in 1980, only 21% were day patients (Office of Population Censuses and Surveys Monitor 1983~). Two-thirds of these 140 000 women were under 45 years of age, and this group presumably included many women admitted as emergencies with miscarriage, for whom day care is usually regarded as inappropriate, though it has been used in such cases (Craig 1970). Elective curettage is becoming a less common procedure than it used to be and a large part of the gynaecological workload now comprises laparoscopy and termination of pregnancy.…”

Section: O M M E N T a R Ymentioning

confidence: 99%

“…It has been suggested that a day care service can be set up in an NHS hospital without expansion of staff or facilities, but day care operations require fully trained operators and these suggestions have tended to come from teaching centres where senior registrars or experienced registrars can absorb the workload. However, it has been shown in Bradford that provided staff and facilities are adequate a consultant-based day care service can increase the throughput of patients and improve bed occupancy (Craig 1970). The pattern in most day units seems well established.…”

Section: O M M E N T a R Ymentioning

confidence: 99%

See 1 more Smart Citation

Day care in gynaecology

Drife

1984

BJOG

View full text Add to dashboard Cite

Early discharge after operation

Narayan

Kumar

Singh

et al. 1993

Journal of British Surgery

View full text Add to dashboard Cite

To assess the feasibility and advantages of short-stay surgery in India, a policy of early discharge was adopted for 386 patients undergoing various major and minor operations. The mean postoperative and total hospital stays of patients admitted for minor surgery were 1.9 and 3.7 days respectively; the corresponding figures for age- and sex-matched historical controls were 7.4 and 11.3 days. The mean postoperative and total stays of patients who had undergone major surgery were 4.1 and 8.0 days respectively; the corresponding control values were 8.9 and 12.5 days. The use of absorbable subcuticular skin sutures helped to shorten postoperative hospital stay and avoided an extra follow-up visit. The overall complication rate in the study group was 9.6 per cent and in historical controls 13.4 per cent (P > 0.05). A total of 2357 hospital bed-days were saved during the study and 95.6 per cent of patients approved of short-stay surgery.

show abstract

The Use of Day Beds in Gynaecology

Cited by 11 publications

References 2 publications

Utilization of Surgical Manpower in a Prepaid Group Practice

Utilization of Surgical Manpower in a Prepaid Group Practice

Day care in gynaecology

Early discharge after operation

Contact Info

Product

Resources

About