Waiting for surgery after orthopaedic trauma

Beringer, Antonia; Hagan, Liz; Goodman, Hannah

doi:10.7748/paed.21.3.34.s31

Cited by 2 publications

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“…Allocating a special person responsible for the constant update of the emergency list has been shown to prevent over-optimistic surgical schedules and to have a beneficial effect on reducing the number of cancellations [42]. Having a visible whiteboard in the surgical clinic listing the acute patients waiting for surgery makes the staff aware and able to improve the scheduling and reduce cancellations [42].…”

Section: Discussionmentioning

confidence: 99%

“…Having a visible whiteboard in the surgical clinic listing the acute patients waiting for surgery makes the staff aware and able to improve the scheduling and reduce cancellations [42]. In the United Kingdom, there are national guidelines recommending that hospitals with acute orthopaedic surgery should have a separate waiting list for trauma surgery which should be updated every day by a person in charge of the operating clinic.…”

Section: Discussionmentioning

confidence: 99%

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Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases

et al. 2014

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BackgroundThe purpose of the Swedish public health-care system is to provide care on equal terms for all citizens. In this, as in most other systems where taxes and/or insurances pay for most of the care, normal market forces are set aside at least in part. At times, this has, for example, resulted in long waiting lists, particularly in terms of elective orthopaedic surgery, with several negative consequences, such as cancellations of planned surgery.MethodsThe main purpose of this retrospective observational single center study was to evaluate and describe the number and reasons for cancellations in elective orthopaedic surgery. Studied were all the elective patients scheduled for joint replacement, arthroscopy and foot & ankle surgery, January 1, 2007 to December 31, 2011, whose procedure was cancelled at least once.ResultsOf all 17,625 patients scheduled for elective surgery 6,911 (39%) received at least one, some several cancellations. The most common reason for cancelling a planned surgery was different patient-related factors 3,293 (33%). Cancellations due to treatment guarantee legislation reached 2,885 (29%) and 1,181 (12%) of the cancellations were related to incomplete pre-operative preparation of the patients. Organisational reasons were the cause of approximately 869 (9%) of the cancellations.ConclusionsIn this study of patients waiting for elective orthopaedic surgery 6,911(39%) had their surgical procedure cancelled at least once, some several times. It appears that it should be possible to eliminate many of these cancellations, while others are unavoidable or caused by factors outside the responsibility of the individual clinic or even hospital. One possible way of influencing the high rate of cancellations might be to change the view of the patients and involve them in the overall planning of the care process.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases

et al. 2014

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Developing practice and staff: Enabling improvement in care delivery through participatory action research

Beringer

Fletcher

2011

J Child Health Care

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We describe the process and outcomes of a programme to enable improvement in care coordination in a children's hospital. Staff identified care coordination issues they wanted to improve and were facilitated to achieve change using a participatory action research (PAR) approach. The seven participating wards were each offered the same opportunity and yet the degree to which they were able to engage in the process, and the level to which they achieved outcomes, varied considerably. The most successful wards were those with proactive leadership and stable management and where a trusting relationship was established between the staff and the programme facilitator. The least successful were those experiencing ward closure, mergers or changes in management structure. We consider how the different levels of achievement can be understood and what implications this has for using participatory action research to promote service improvement and to facilitate staff development.

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Waiting for surgery after orthopaedic trauma

Cited by 2 publications

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Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases

Incidence and root causes of cancellations for elective orthopaedic procedures: a single center experience of 17,625 consecutive cases

Developing practice and staff: Enabling improvement in care delivery through participatory action research

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