Investigating the Patient Admission Pathway to Improve Theatre Start Time for a General Surgery Service
thesisposted on 21.07.2020 by Aishling Brett
In order to distinguish essays and pre-prints from academic theses, we have a separate category. These are often much longer text based documents than a paper.
The operating theatre accounts for a large percentage of a hospital’s total expenses. Optimum efficiency and utilisation of theatre time are paramount. There are a number of contributing factors when discussing theatre time utilisation including starting theatre on time, reducing turnover time and minimising theatre overruns, all of which require the cooperation of surgical, anaesthetic and allied health professionals. Day of Surgery Admissions (DOSA) is a service that allows for the planned admission of patients on the day of their scheduled surgery.There are many attractive benefits to day surgery admission including decreased cost when compared to overnight stay, decreased in-patient stay, reduced infection rate, decreased waiting lists and better utilisation of hospital resources. The Lean Six Sigma DMAIC model was used to formulate a quality improvement (QI) plan to improve theatre start time for a general surgery service. QI tools including stakeholder analysis, driver diagrams and fishbone diagrams were utilised. The patient pathway through DOSA was investigated for factors contributing to the late start times. Data collected suggested that a number of factors were contributing to the problem. The optimal theatre start time was not being reached for the General Surgery Service. Three pathway interventions were implemented and a Plan Do Study Act (PDSA) cycle was initiated. Subsequent data showed an improvement in theatre start time. This QI project plan provides recommendations for implementing changes to the patient pathway through DOSA with the expected outcome of sustaining continuous improvement in theatre start times.
First SupervisorDr. Pauline Joyce
CommentsA thesis submitted in partial fulfilment of the requirements for the degree of MSc in Physician Associate Studies to the Royal College of Surgeons in Ireland in 2019
Published CitationBrett A. Investigating the Patient Admission Pathway to Improve Theatre Start Time for a General Surgery Service [MSc Thesis]. Dublin: Royal College of Surgeons in Ireland; 2019.
Degree NameMSc Physician Associate Studies
Date of award30/11/2020
- MSc Physician Associate Studies