1 / 9

Optimising Emergency Surgery at Austin Health

Optimising Emergency Surgery at Austin Health. 19 March 2008 - Melbourne. KEY PROBLEM. Austin Health experienced 30% growth in emergency attendances over the 2 years from 2004-05. This translated into a 23% increase in demand for emergency surgical procedures & unacceptable waits

kent
Download Presentation

Optimising Emergency Surgery at Austin Health

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Optimising Emergency Surgery at Austin Health 19 March 2008 - Melbourne

  2. KEY PROBLEM • Austin Health experienced 30% growth in emergency attendances over the 2 years from 2004-05. This translated into a 23% increase in demand for emergency surgical procedures & unacceptable waits Opportunities for improvement were identified: • Unlike the elective surgery program, there were no robust processes for booking emergency surgery and no systems to track patients waiting for surgery • No transparency for prioritisation • Few clinical pathways for the emergency surgical patient • Timeframes across the continuum were unclear and difficult to measure

  3. Pre-implementation data

  4. AIM OF THIS PROJECT • Implement a real-time, transparent booking system to enable improved monitoring and scheduling of emergency surgery • Agree targeted priority timeframes for each procedure based on best practice • Enable the identification of patients not treated within priority timeframes

  5. KEY INNOVATION IMPLEMENTED • Implemented web-based Emergency Theatre Booking System (ETBS) based on software developed at RMH - Went live in October 2007 • Agreed prioritization process - & timeframes for each procedure with each unit • Large scale roll out and training for all surgical units & Anaesthetic staff • Scheduling enhancement incorporated • January 2008

  6. OUTCOMES SO FAR – Prelim Data

  7. OUTCOMES SO FAR – Prelim Data

  8. PROJECT EVALUATION/OUTCOMES • Transparent system for the booking and monitoring of patients requiring emergency surgery • Allows for the monitoring and scheduling day to day • Data will allow us to begin to refine clinical pathways • Allows for identification of patients not treated within priority timeframes • Expected outcomes will be further reductions in LOS following reductions in the time from admission to booking completion and decreased theatre waiting time

  9. OTHER LEARNING’S • Challenges with implementing like systems based on other health services - different processes and theatre capacity • Importance of Executive and Senior clinician support • Dedicated IT support throughout the change process • Engagement of key stakeholders (anaesthetists, surgical registrars, theatre nurses) • Revisiting the expectations of key users of the program and ensuring it meets their needs

More Related