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Making the surgical beds go around.

J P Fletcher1, B Hodges

  • 1Division of Surgery, Westmead Hospital, NSW, Australia.

Journal of Quality in Clinical Practice
|January 5, 2000
PubMed
Summary
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Implementing a dedicated bed management team significantly reduced surgical cancellations to zero. This coordinated approach ensures all planned surgical admissions proceed, even with fewer beds, while accommodating emergencies.

Area of Science:

  • Healthcare Management
  • Surgical Patient Flow Optimization
  • Hospital Resource Allocation

Background:

  • Surgical cancellations cause patient distress and resource waste.
  • Inefficient coordination of surgical admissions leads to underutilized operating theaters.
  • Westmead Hospital faced challenges with planned surgical admissions.

Purpose of the Study:

  • To reduce cancellations of planned surgical admissions.
  • To maintain surgical throughput despite reduced bed availability.
  • To improve the coordination of surgical patient processing.

Main Methods:

  • Establishment of a bed management team led by a Clinical Nurse Consultant (Bed Manager).
  • Coordinated admissions involving surgical wards, bookings office, pre-admission clinic, operating theatre, and anesthetics department.

Related Experiment Videos

  • Emphasis on teamwork and a dedicated Bed Manager role.

    • Main Results:

    • Significantly reduced number of cancelled booked surgical cases.
    • Cancellations decreased to zero and have remained so since late 1995.
    • Maintained surgical throughput with fewer available beds.

    Conclusions:

    • A coordinated approach with a dedicated Bed Manager can eliminate surgical cancellations.
    • It is possible to admit all planned surgical patients while accommodating emergencies.
    • Effective teamwork across departments is crucial for optimizing surgical patient flow.