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The Canadian Model for Instituting Wide-Awake Hand Surgery in Our Hospitals.
Margie Wheelock1, Christian Petropolis2, Donald H Lalonde3
1Department of Plastic and Reconstructive Surgery, Dalhousie University, IWK Health Centre, 5850/5980 University Avenue, PO Box 9700, Halifax, Nova Scotia B3K6R8, Canada.
Hand Clinics
|November 25, 2018
Summary
Clinic-based hand surgery in Canada offers improved patient comfort, safety, and access to care. This approach, developed over 50 years, optimizes healthcare resources while reducing waste.
Area of Science:
- Orthopedic Surgery
- Health Services Research
Background:
- Canadian healthcare system faces funding constraints, driving innovation in surgical delivery.
- Clinic-based hand surgery has evolved over 50 years in Canada.
Observation:
- Local anesthetic eliminates the need for sedation and tourniquets.
- Procedures can be performed without requiring overnight stays.
- Increased accessibility to specialized hand surgery services.
Findings:
- Significant improvements in patient comfort and safety observed.
- Reduced healthcare costs and waste associated with clinic-based procedures.
- Enhanced patient access to timely hand surgery.
Implications:
- Provides a model for cost-effective, high-quality surgical care.
- Offers strategies for other centers to implement similar outpatient surgical clinics.
- Demonstrates the benefits of adapting surgical practices to healthcare system limitations.
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