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Day surgery in Bristol

S Carrington

    The British Journal of Theatre Nursing : Natnews : the Official Journal of the National Association of Theatre Nurses
    |February 1, 1993
    PubMed
    Summary
    This summary is machine-generated.

    Day surgery in Bristol is expanding, with the Bristol Royal Infirmary day surgery unit (DSU) improving its services. Management strategies enhanced patient selection, booking systems, and care accountability for better surgical outcomes.

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    Area of Science:

    • Surgical Services Management
    • Healthcare Operations
    • Patient Care Improvement

    Background:

    • Day surgery is increasing in the UK, including Bristol.
    • The Bristol Royal Infirmary day surgery unit (DSU) manages approximately 3,500 patients annually.
    • Expansion of services includes a second operating theatre, shifting case mix towards more complex procedures.

    Purpose of the Study:

    • To outline management strategies for expanding and improving day surgery services.
    • To detail the implementation of patient selection criteria and an appointment booking system.
    • To describe policy development for operation lists, staff involvement, and patient care accountability.

    Main Methods:

    • Implementing a new appointment booking system.

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  • Developing a comprehensive policy for day surgery management.
  • Establishing clear accountability for patient care from admission to discharge.
  • Introducing an updated care plan for patients.
  • Developing methods for evaluating the quality of care provided.

    • Main Results:

    • The addition of a second operating theatre has improved the case mix, focusing on 'basket type' surgeries like hernia repair and varicose vein treatment.
    • The new appointment booking system is progressing successfully.
    • A structured policy and enhanced staff involvement have been implemented for better management and accountability.

    Conclusions:

    • Effective management, including preparation, communication, and diplomacy, is crucial for expanding day surgery services.
    • The implemented strategies have improved the efficiency and scope of care at the Bristol Royal Infirmary DSU.
    • Ongoing evaluation methods are in place to ensure continuous quality improvement in day surgery patient care.