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Implementation of acute care surgery service provides more timely patient care
Date:10/9/2009

, prior to implementation and following implementation, from July 2006 to March 2008.

Of the 410 patients who had 500 operations, 72.8 percent were performed in the operating room (n=368) and 26.2 percent at the bedside (n=132). In the year before implementation of the acute surgery service, 55.4 percent of urgent and emergent procedures were performed between 7:30 a.m. and 5:30 p.m., compared with 70 percent after implementation (p=0.0002). Procedures performed after 5:30 p.m. decreased from 44.6 percent to 30 percent following implementation of the service.

Researchers said that the shift in operations from after hours to daytime hours was accomplished by assigning an attending surgeon to cover those procedures that could wait until daytime (for example, gallbladder removal), without compromising the emergency coverage for those patients who required immediate operations. This approach allowed operations to proceed as openings in the daily operating room schedule developed, rather than as add-on procedures performed at the end of the day or into the night.

The most common cases that required treatment by the acute surgery service were respiratory failure and malnutrition (n=130), soft-tissue infection (n=115), abdominal pain (n=97), biliary complications (n=94) and bowel obstruction (n=78). The most common operations performed included creating a surgical opening in the trachea or stomach for insertion of tubes, or both (n=125); incision and drainage (n=61); gallbladder removal (n=53); and complex abdominal wound care (n=43).


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Contact: Sally Garneski
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Weber Shandwick Worldwide
Source:Eurekalert

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