Elective surgery: a comparison of in-patient versus day surgery practices in Ireland
- 193 Downloads
Currently, there is a paucity of research which has assessed practices at the point of care for day surgery patient.
To outline the patient journey from first referral for surgery and identify structures and processes which facilitate or constrain the provision of day surgery.
A retrospective medical charts review of 200 consecutively presenting patients undergoing elective surgery in two Irish teaching hospitals. Data collection was completed from January 2009 to March 2009. This analysis spanned from first referral to the hospital until discharge and follow up.
Great variability was noted in practices between the two hospitals. While some of the differences in practice become barriers to increased rates of day surgery, others did not have an impact.
This study echoes findings of other similar studies in that management of patients undergoing elective surgery which varies significantly across Irish hospitals.
KeywordDay surgery Elective surgery General surgery
Conflict of interest
- 1.Castoro C, Bertinato L, Baccaglini U, Drace CA, McKee M (2007) Day surgery: making it happen. WHO in conjunction with European observatory on health systems and policies. Copenhagen, pp 1–32Google Scholar
- 2.Nicoll JH (1909) The Surgery of infancy. Br Med J 2:753Google Scholar
- 3.PA Consulting Group (2007) Acute hospital bed capacity review: a preferred health system in Ireland to 2020. PA Consulting group, London, pp 1–112Google Scholar
- 4.Auditor General (2006) Making better use of NHS day surgery in Wales. Wales Audit office, Cardiff, pp 1–95Google Scholar
- 5.Ministry of Health and Consumer Affairs (2008) Day surgery unit guide: standards and recommendations, Ministry of health and consumer affairs, Madrid, pp 1–170Google Scholar
- 8.Bupa Insurance Limited (2012) Bupa Schedule of procedures, vol 2012.10, 5th edn. London, pp 1–95Google Scholar
- 9.Smith Frank CT, Gwynn BR (1995) Direct access surgery. Ann R Coll Surg Engl 77:94–96Google Scholar
- 12.NHS Modernisation Agency (2004) 10 High impact changes for service improvement and delivery: a guide for NHS leadersGoogle Scholar
- 13.Gudimetla V, Smith I (2006) Pre-operative screening and selection of adult day surgery patients. In: Lemos P, Jarrett P, Philip B (eds) Day surgery: development and practice, IAAS, Porto, Portugal, pp 125–139Google Scholar
- 15.Walley P, Silvester K, Sten R (2006) Managing variation in demand: lessons from the UK National Health Service. J Healthc Manag 51(5):309–320Google Scholar
- 18.Caritas Health Group (2002) Regional adult day surgery process guidelines. Alberta, pp 1–2Google Scholar
- 20.McCracken G, Houston P, Lefebvre G (2008) Guideline for the management of postoperative nausea and vomiting. J Obstet Gynaecol Can 30(7):600–616Google Scholar
- 21.Jarrett P, Staniszewski A (2006) The development of ambulatory surgery and future challenges. In: Lemos P, Jarrett P, Philip B (eds) Day surgery: development and practice, IAAS, Porto, Portugal, pp 21–34Google Scholar