News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 


Separating elective and acute surgical streams

ROYAL AUSTRALASIAN COLLEGE OF SURGEONS MEDIA RELEASE


Separating elective and acute surgical streams in a provincial hospital

Wednesday 8 May, 2013

While the separation of elective and acute surgical streams is increasingly common in large metropolitan hospitals, the feasibility of such a model of surgical care in smaller provincial hospitals has only recently been tested, delegates to the 82nd Annual Scientific Congress (ASC) of the Royal Australasian College of Surgeons have been told.

Dr Tracey Barnes, a Surgical Registrar at Invercargill’s Southland Hospital, told delegates that Consultant Surgeons and hospital management at Southland Hospital have structured a model where the on-call surgeon has no elective responsibilities whilst covering call for the week starting each Tuesday. The on-call surgeon’s usual elective sessions were utilised by other General Surgeon colleagues. Patients with unresolved acute problems were handed over to the on-coming surgeon each Tuesday. Southland Hospital provides acute care for a population of 110,000.

“We present a descriptive review and data for the 12 month period prior to and post the adoption of an acute service model at Southland Hospital,” Dr Barnes said. “This data includes acute and elective admission rates, elective surgery and outpatient appointments, and rates of acute operations of cholecystectomy (gallbladder removal) on initial acute admission with gallbladder symptoms.”

“Comparisons of the data from the two periods revealed the number of acute and elective admissions was similar. Up to 54% of total admissions were acute. Elective surgery throughout remained similar per consultant. Outpatient visits per consultant stayed the same or increased. There was an increase in the proportion of people who received gallbladder surgery during their first admission, from 14 to 42%.

“Our review led us to the conclusion that in a provincial hospital with just five General Surgeons it is feasible to run an acute surgical service model with a consultant having on-call responsibilities only. This can improve acute inpatient care without reducing or compromising elective services. Our model requires a degree of flexibility with scheduling of duties, an acute workload that is not too light or too busy, and may improve quality of life for surgeons during weeks they are not on call,” Dr Barnes said.

In 2011, the Royal Australasian College of Surgeons wrote to all health ministers and senior health department officials in Australia and New Zealand, enclosing a comprehensive report which demonstrated that the establishment of dedicated acute care surgical units leads to greater efficiency and better patient outcomes.

Approximately 1200 surgeons from New Zealand, Australia and around the world are attending the ASC, which runs from 6 to 10 May and is being held at Auckland’s Skycity/Crowne Plaza Convention Centre.

ENDS


© Scoop Media

 
 
 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Game Review: Until Dawn - Pick Your Own Horrible Adventure

Supermassive Games’ Until Dawn sees a group of dumb sexy teenagers take a trip to a spooky mansion atop a mountain. It is, obviously, a horror game. However, the game is so ridiculous it turns out to be more of a comedy. More>>

John McBeth: Our World Cup All Blacks

Forty or fifty years ago nobody really had any idea of what the selectors had in mind. There were often several trials, which sometimes featured over 150 players, possibly an inter island match or a final trial, then we listened to the announcement of the team on radio. The players weren't flown into the capital for a parliamentary function... More>>

ALSO:

Game Review: Midsomer Murders Meets First Year Philosophy

Developed by The Chinese Room, Everybody's Gone to the Rapture sees the player exploring what appears to be a recently abandoned idyllic English village trying to figure out where everybody's gone. Spoiler: they've gone to the rapture. (On a serious note, this review contains plot spoilers.) More>>

Scoop Review Of Books: Clear Science

It was really after his move to Wellington, to Victoria University, that it became apparent that Sir Paul Cllaghan was much more than an eminent physicist... More>>

ALSO:

Francis Cook: Weekend SportzMania! All Blacks! Netball!

Sports were on all weekend. I normally don’t write about sports but with Richie McCaw tipped to be the next Prime Minister, and Colin Craig arguing sports are almost as important as politics, I thought “what better time to start!” More>>

ALSO:

Beervana: Aussie Pav Beer Declared Taste Of NZ

In a surprising upset, an Australian beer modelled on the pavlova, created by Brisbane brewery Newstead Brewing, the 250 Beers blog and Scratch Bar, has been announced the winner at the Beervana craft beer festival ‘Flag Brew’ competition, which challenged media and brewing teams to capture the distinctive taste of New Zealand. More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news