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Delays in emergency orthopaedic procedures: a single-centre experience of 36,017 consecutive cases over seven years

Poster (konferens)
Författare Ulla Caesar
Publicerad i NORNA, Nordic Operating Room Nurses Association Congress 2018, Come together - Building Bridges in Perioperative Nursing
Publiceringsår 2018
Publicerad vid Institutionen för kliniska vetenskaper
Språk en
Ämneskategorier Hälsovetenskaper

Sammanfattning

Emergency surgery is unplanned by definition and patients are scheduled for surgery with minimal preparation. Some patients who have sustained emergency orthopaedic trauma or other conditions must be operated on immediately or within a few hours, while others can wait until the hospital’s resources permit or the patients’ health status has been optimised. This affect the prioritisation procedures for both emergency and elective surgery and might result in waiting lists, not only for planned procedures but also for emergencies. Purpose of the retrospective, observational, single-centre study was to evaluate and describe for the number and reasons of delays, as well as waiting times in emergency orthopaedic surgery using data derived from the hospital’s records and registers. All the emergency patients scheduled for emergency surgery whose procedures were rescheduled and delayed between 1 January 2007 and 31 December 2013 were studied. We found that 24% (8,474) of the 36,017 patients scheduled for emergency surgeries were delayed and rescheduled at least once, some several times. 80 % of these delays were due to organisational causes. 21 % of all the delayed patients had surgery within 24 hours, whilst 41% waited for more than 24 hours, up to three days. Much of the clinic’s emergency orthopaedic procedures were rescheduled and delayed and the majority of the delays were related to organisational reasons. The results can be interpreted in two ways; first, organisational reasons are avoidable and the potential for improvement is great and, secondly and most importantly, the delays might negatively affect patient outcomes.

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