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Crisis in resources: a neurosurgical prospective
K Ashkan1, R J Edwards, B A Bell
1Department of Neurosurgery, Atkinson Morley's Hospital, Copse Hill, Wimbledon, London SW19 4NP, UK.
British Journal of Neurosurgery
|October 16, 2001
Summary
Neurosurgical resources are over-stretched, impacting patient care. A 1-month audit revealed inadequate bed availability, leading to denied admissions and long waits for emergency and elective neurosurgery cases.
Area of Science:
- Neurosurgery
- Healthcare Management
- Surgical Auditing
Background:
- Recent recommendations from the Society of British Neurological Surgeons emphasize safe neurosurgery practices.
- Effective resource management is crucial for maintaining high standards in neurosurgical care.
Purpose of the Study:
- To prospectively audit the workload, availability, and efficiency of neurosurgical resources.
- To assess the impact of resource limitations on emergency and elective neurosurgery admissions.
Main Methods:
- A 1-month prospective audit of neurosurgical workload and resource utilization.
- Analysis of admission data, including emergency and elective cases.
- Evaluation of bed occupancy rates and reasons for admission denial or cancellation.
Main Results:
- 130 admissions (70 emergency, 60 elective) were recorded.
- 23 emergency patients were denied admission due to bed shortages.
- Elective cases faced a 33% cancellation rate; bed occupancy exceeded 100%.
Conclusions:
- Current neurosurgical resources are inadequate and over-stretched, posing a risk to patient safety.
- Neurosurgery, as a critical emergency service, requires prioritized resource allocation within the NHS.