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

 

Architecture:
Ian Athfield Dies In Wellington

New Zealand Institute of Architects: It is with great sadness that we inform Members that Sir Ian Athfield, one of New Zealand's finest architects, has passed away in Wellington. More>>

ALSO:

Wellington Production: New-Look Tracy Brothers Are F.A.B.

ITV and New Zealand’s Pukeko Pictures today released an exclusive preview of the new-look Tracy brothers from this year’s hotly anticipated new series, Thunderbirds Are Go. More>>

ALSO:

Cardinal Numbers:
Pope Francis Names Archbishop From NZ Among New Cardinals

Announcing a list of bishops to be made Cardinals in February Pope Francis named Archbishop John Dew, Archbishop of Wellington, overnight from Rome. On hearing the news of the announcement, Archbishop John Dew said "This news is recognition of the Catholic Church in Aotearoa New Zealand, and the contribution it makes to the global Catholic family." More>>

ALSO:

Nomenclature: Charlotte And Oliver Top Baby Names For 2014

Charlotte and Oliver were the most popular names for newborn girls and boys in 2014... The top 100 girls’ and boys’ names make up a small proportion of the more than 12,000 unique first names registered for children born this year, says Jeff Montgomery, Registrar-General of Births, Deaths and Marriage. More>>

Werewolf: Katniss Joins The News Team

From the outset, the Hunger Games series has dwelt obsessively on the ways that media images infiltrate our public and personal lives... From that grim starting point, Mockingjay Part One takes the process a few stages further. There is very little of the film that does not involve the characters (a) being on screens (b) making propaganda footage to be screened and (c) reacting to what other characters have been doing on screens. More>>

ALSO:

Scoop Review Of Books: Ko Witi Te Kaituhituhi

Witi Ihimaera, the distinguished Māori author and the first Māori to publish a book of short stories and a novel, has adopted a new genre with his latest book. But despite its subtitle, this book is a great deal more than a memoir of childhood. More>>

Werewolf: Rescuing Paul Robeson

Would it be any harder these days, for the US government to destroy the career of a famous American entertainer and disappear them from history – purely because of their political beliefs? You would hope so. In 1940, Paul Robeson – a gifted black athlete, singer, film star, Shakespearean actor and orator – was one of the most beloved entertainers on the planet. More>>

ALSO:

"Not A Competition... A Quest": Chapman Tripp Theatre Award Winners

Big winners on the night were Equivocation (Promising Newcomer, Best Costume, Best Director and Production of the Year), Kiss the Fish (Best Music Composition, Outstanding New NZ Play and Best Supporting Actress), and Watch (Best Set, Best Sound Design and Outstanding Performance). More>>

ALSO:

Get More From Scoop

 
 

LATEST HEADLINES

 
 
 
 
Health
Search Scoop  
 
 
Powered by Vodafone
NZ independent news