Allocation of Extra Surgical Staff in Surgical Assessment Unit (SAU) – An Effective Strategy for Improvement?
Journal Title: Journal of Surgery Research and Practice - Year 2021, Vol 2, Issue 3
Abstract
Background: SAU is a recognized model of care in managing acute surgical patients, but limited resources and growing workload are affecting its efficiency. This study aimed to assess if the allocation of an extra registrar in surgical assessment unit would increase its efficiency. Methods: We routinely record patient arrival, triage, junior doctor (house officer/senior house officer) and senior doctor review (registrar) times in our SAU. Data was collected retrospectively for all general surgical patient waiting times and number of patients discharged in June/July 2018 over 20 days. In the second part of the study, after allocation of a second duty registrar during peak times (14:00-18:00hrs), data was prospectively collected for the same parameters during June/July 2019. In both cycles of study, the data was collected from Monday to Friday between (08:00-20:00 hours). This allowed us to compare both sets of data fairly. We statistically analysed the data using 2 tailed t tests. Results: The total number of patients in 1reg and 2reg studies were 182 and 196 respectively. In the 1reg group, the mean waiting times from patient triage to senior doctor review and junior to senior doctor review were 154 and 121 minutes respectively. These times were 110 and 75 minutes respectively in the 2reg group. Statistical analysis revealed that waiting times were significantly shorter (p=0.001, P=0.0003) in the 2 reg group. The number of patients discharged in 1reg and 2reg groups were 77 and 103 respectively (p=0.01). The patient triage times by nursing staff and junior doctor review times were not statistically different in both groups. Conclusion: The allocation of a second registrar in surgical assessment unit allows earlier senior review and decision making which decreases the patient waiting time and increased number of patient discharges thereby improving quality of care provided to the patients.
Authors and Affiliations
Muhammad Ali*, Rute Castelhano, Sherwin Ng, Anwar Owais, Roderick Alexander
Keywords
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- EP ID EP698918
- DOI http://dx.doi.org/10.46889/JSRP.2021.2307
- Views 72
- Downloads 0
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