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[Elective surgery--cancellations, ring fencing and efficiency].

M Aaserud1, M Trommald, J Boynton

  • 1Avdeling for samfunnsmedisin Statens institutt for folkehelse Postboks 4404 Nydalen 0403 Oslo. morten.aaserud@folkehelsa.no

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 6, 2002
PubMed
Summary

Emergency admissions disrupt elective surgery, causing cancellations. Evidence does not support "ring fencing" as a strategy to improve hospital efficiency or reduce surgical cancellations.

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Area of Science:

  • Healthcare Management
  • Surgical Operations
  • Hospital Efficiency

Background:

  • Emergency admissions frequently disrupt scheduled elective surgical procedures.
  • This disruption leads to decreased hospital efficiency and fewer completed elective surgeries.

Purpose of the Study:

  • To determine the extent of disruption caused by emergency admissions to elective surgical activities.
  • To evaluate the effectiveness of "ring fencing" elective surgery as a strategy to mitigate these disruptions and enhance overall hospital efficiency.

Main Methods:

  • A systematic literature search was conducted to identify relevant published studies.
  • The search focused on research addressing the impact of emergency admissions on elective surgery and the efficacy of protective strategies.

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Main Results:

  • Elective surgical operations experience cancellation rates of approximately 10-17%.
  • Emergency admissions are a significant factor, contributing to about 14% of cancellations in some settings.
  • No empirical evidence was found to support the effectiveness of ring fencing elective surgery.

Conclusions:

  • The belief in "ring fencing" as a solution for reducing cancellations and increasing efficiency appears to be based on theoretical assumptions rather than empirical data.
  • Further research is needed to validate strategies for managing the interplay between emergency and elective surgical services.