Hospitals should aim to minimise the time between patients being admitted to hospital and having an operation. Steps can be taken to improve the process for emergency patients as well as elective ones.
All emergency patients who have undergone a recognised procedure are included in this analysis. However we are not able to tell from the data alone whether the procedure was the main reason for admission or whether they were admitted for something else and subsequently had a procedure. Therefore this indicator should be treated with some caution. It may be better to concentrate your attention on surgical specialties unless you have local intelligence to suggest otherwise.
While access to emergency care has improved considerably in the NHS, further attention is now required to ensure that only those patients who actually require admission to an acute hospital bed are admitted and that their length of stay is commensurate with their acute care needs. Emergency patients can also benefit from the pre-assessment process.
A reduction in pre-operative bed days by means of rapid pre-op assessment once admitted, protocols and local diagnostic work-up will help reduce acute bed days. Such pre-operative assessment (POA) and planning, ensures that the patient is fully informed about the procedure and the post operative recovery,
There are wide variations between trusts in their management of emergency patients. The proportion of patients with broken hips operated on within two days of admission varies from 22% to 100%. With these patients, rapid treatment is not simply an issue of efficiency but also of quality of care, as rapid treatment is associated with better outcomes.